Individual provider · Type 1 NPI

Jae-O Bae, MD

Pediatric Surgery Physician · Phoenix, AZ

NPI number 1710196019 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Fax (602) 933-4309

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327

Other practice locations

  • 1920 E Cambridge Ave, Suite #201, Phoenix, AZ 85006-1459 · (602) 254-5561

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X42085 (AZ)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1710196019

Jae-O Bae, MD's National Provider Identifier is 1710196019, issued on May 22, 2007. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 23, 2018.