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NPI Code Detail

MEDICARE: MS. JESSICA IRENE SAZDOFF PAC

MEDICARE:  MS. JESSICA IRENE SAZDOFF  PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003895707
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA IRENE SAZDOFF PAC
Provider Business Mailing Address
First Line : 9700 N 91ST ST
Second Line : SUITE C-200
City : SCOTTSDALE
State : AZ
Zip : 85258-5054
Country : US
Telephone Number : 480-425-5063
Fax Number : 480-425-5010
Provider Business Practice Location Address
First Line : 9700 N 91ST ST
Second Line : SUITE C-200
City : SCOTTSDALE
State : AZ
Zip : 85258-5054
Country : US
Telephone Number : 480-425-5063
Fax Number : 480-425-5010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 06/06/2012

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Directions to “ MS. JESSICA IRENE SAZDOFF PAC” Practice Location

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