David J Jagoda M.D.

NPI 1093706335 - Internal Medicine - 207R00000X

NPI Details
NPI 1093706335
Gender Male
Enumeration Date 11/04/2005
Last Updated 03/21/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2009 E 5TH ST STE 9
STE 9
TEMPE AZ, 85281-3067, US
Phone (480) 237-9377
Fax (480) 237-9377
Business Location
PO BOX 841
QUEEN CREEK AZ, 85142-1817, US
Phone (480) 237-9377
Fax (480) 237-9377
Toxanomy
Taxonomy Code 207R00000X
License State Arizona
License Number 25979
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According to our database, David J Jagoda M.D. NPI is 1093706335, taxonomy code is 207R00000X and license number is 25979, license state is located at Arizona. David J Jagoda M.D. physically located at 2009 E 5th St Ste 9, Tempe AZ, 85281-3067. NPI Number David J Jagoda M.D. has the Individual type.

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1093706335 NPI number is provided on an as is basis without warranty of any kind. 1093706335 is maintained by the National Plan & Provider Enumeration System. The contents of David J Jagoda M.D. are for informational purposes only.