Douglas P Jensen MD

NPI 1073509402 - Internal Medicine - 207RC0000X

NPI Details
NPI 1073509402
Gender Male
Enumeration Date 09/21/2005
Last Updated 08/26/2011
Entity Type Individual
Active Over 12 years ago
Practice Location
GLENDALE AZ, 85306-1869, US
Phone (602) 298-7777
Fax (623) 930-6060
Business Location
PO BOX 52886
PHOENIX AZ, 85072-2886, US
Phone (602) 298-7777
Fax (623) 930-6060
Taxonomy Code 207RC0000X
License State Arizona
License Number 11306
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According to our database, Douglas P Jensen MD NPI is 1073509402, taxonomy code is 207RC0000X and license number is 11306, license state is located at Arizona. Douglas P Jensen MD physically located at 5859 W Talavi Blvd, Glendale AZ, 85306-1869. NPI Number Douglas P Jensen MD has the Individual type.

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1073509402 NPI number is provided on an as is basis without warranty of any kind. 1073509402 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas P Jensen MD are for informational purposes only.