Healthcare Provider Details

I. General information

NPI: 1528106937
Provider Name (Legal Business Name): JENNIFER LINDER MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6710 E CAMELBACK RD SUITE 220
SCOTTSDALE AZ
85251-2031
US

IV. Provider business mailing address

6710 E CAMELBACK RD SUITE 220
SCOTTSDALE AZ
85251-2031
US

V. Phone/Fax

Practice location:
  • Phone: 480-946-7939
  • Fax: 480-946-5258
Mailing address:
  • Phone: 480-946-7939
  • Fax: 480-946-5258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number35481
License Number StateAZ

VIII. Authorized Official

Name: JENNIFER LINDER
Title or Position: OWNER
Credential: MD
Phone: 480-946-7939