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Mr. Jody Lee Sanderson, PA-C
Medical Physician Assistant in Phoenix, Arizona
NPI 1164490579

Jody Lee Sanderson is a Medical Physician Assistant based in Scottsdale, AZ and is specialized in Medical. Jody Lee Sanderson practices in Phoenix, AZ and has the professional credentials of PA-C. The NPI Number for Jody Lee Sanderson is 1164490579 and holds a License No. 2580 (Arizona).

The current practice location address for Jody Lee Sanderson is 1111 E Mcdowell Rd, Phoenix, AZ and can be reached out via phone at 602-839-6968 and via fax at 602-839-4144.

Location: 1111 E Mcdowell Rd, Phoenix, AZ, 85267-5070
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Provider Profile Details
NPI Number
1164490579
Provider Name
Jody Lee Sanderson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1111 E Mcdowell Rd, Phoenix, AZ, 85267-5070
Phone Number
602-839-6968
Fax Number
602-839-4144
Provider Enumeration Date
03/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
649692 05 AZ
institution
Provider Business Practice Location Address Details
Address
1111 E Mcdowell Rd
City
State
Zip
85006-2612
Phone Number
602-839-6968
Fax Number
602-839-4144
person
Provider Business Mailing Address Details
Address
1111 E Mcdowell Rd
City
State
Zip
85006-2612
Phone Number
602-839-6968
Fax Number
602-839-4144
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2580 (Arizona)
Definition
Definition to come...
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