DAVID J. JAGODA MD PC
Ambulatory Health at 5 St, Tempe, AZ

License number
Arizona 25979
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DAVID JAGODA M.D.
Title: PRESIDENT
Phone: (480) 237-9377
Address
Address 2
2009 E 5Th St STE 9, Tempe, AZ 85281
PO Box 841, Queen Creek, AZ 85142
National Provider ID: 1073806337
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID J. JAGODA, M.D., PC

PO Box 841, Queen Creek, AZ 85142

Registration:
Mar 17, 1999
State ID:
-0869543-8
Expiration:
PERPETUAL
President:
David J Jagoda (President), 2009 E 5 St SUITE 9, Tempe, AZ 85281 (Physical)
Business type:
HEALTH CARE

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