Individual provider · Type 1 NPI
Travis Steven Jensen, DPM
Foot & Ankle Surgery Podiatrist · Surprise, AZ
NPI number
1659366342
Active
Practice location
12361 W Bola Dr, Ste 100
Surprise, AZ 85378-9021
Fax (623) 584-8998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 16005134 (IL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 665 (AZ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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Other foot & ankle surgery podiatrist providers in Surprise
About NPI 1659366342
Travis Steven Jensen, DPM's National Provider Identifier is 1659366342, issued on Sep 19, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Surprise, AZ. The record was last updated on Nov 3, 2011.