MEDICARE: DR. DANIEL CLEMENT JAFFEE MD

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
1	2088F0040X	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	46758	AZ
2	208800000X	Urology Physician	46758	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1356346878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL CLEMENT JAFFEE MD

Provider Business Mailing Address
First Line	:	PO BOX 910221
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-0221
Country	:	US
Telephone Number	:	520-519-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5133 N CENTRAL AVE STE 206
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1438
Country	:	US
Telephone Number	:	602-264-0608
Fax Number	:	602-234-0417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	01/09/2026

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