Organization · Type 2 NPI
SJ Medical Group
Primary Care Nurse Practitioner · Phoenix, AZ
NPI number
1669865408
Active
Practice location
4622 N 35th Ave
Phoenix, AZ 85017-3403
Fax (602) 441-2202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP7650 (AZ) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1669865408
SJ Medical Group's National Provider Identifier is 1669865408, issued on Mar 17, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 17, 2015.