Healthcare Provider Details

I. General information

NPI: 1285127241
Provider Name (Legal Business Name): KATIE NEUMARKER JALBERT CSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7469 E MONTE CRISTO AVE
SCOTTSDALE AZ
85260-1618
US

IV. Provider business mailing address

8900 E RAINTREE DR STE 100
SCOTTSDALE AZ
85260-7307
US

V. Phone/Fax

Practice location:
  • Phone: 678-983-8963
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: