Healthcare Provider Details

I. General information

NPI: 1801903778
Provider Name (Legal Business Name): SEN T JOU MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 09/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 W THUNDERBIRD RD STE B-3
GLENDALE AZ
85306-4636
US

IV. Provider business mailing address

10632 N SCOTTSDALE RD STE B365
SCOTTSDALE AZ
85254-6164
US

V. Phone/Fax

Practice location:
  • Phone: 602-795-7256
  • Fax: 602-795-7257
Mailing address:
  • Phone: 480-607-6825
  • Fax: 480-604-8133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number19518
License Number StateAZ

VIII. Authorized Official

Name: DR. SEN JOU
Title or Position: MD
Credential: MD
Phone: 480-607-6825