person
Nathan Sanford Jeppesen, DPM
Student in an Organized Health Care Education/Training Program in Mesa, Arizona
NPI 1306088307

Nathan Sanford Jeppesen is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Nathan Sanford Jeppesen practices in Mesa, AZ and has the professional credentials of DPM. The NPI Number for Nathan Sanford Jeppesen is 1306088307 and holds a License No. 0745 (Arizona).

The current practice location address for Nathan Sanford Jeppesen is 1450 S Dobson Rd, Mesa, AZ and can be reached out via phone at 623-537-5600 and via fax at 866-939-2673.

Location: 1450 S Dobson Rd, Mesa, AZ, 85023-1266
person
Provider Profile Details
NPI Number
1306088307
Provider Name
Nathan Sanford Jeppesen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1450 S Dobson Rd, Mesa, AZ, 85023-1266
Phone Number
623-537-5600
Fax Number
866-939-2673
Provider Enumeration Date
04/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
715319 05 AZ
institution
Provider Business Practice Location Address Details
Address
1450 S Dobson Rd
City
State
Zip
85202-4712
Phone Number
623-537-5600
Fax Number
866-939-2673
person
Provider Business Mailing Address Details
Address
1450 S Dobson Rd
City
State
Zip
85202-4712
Phone Number
623-537-5600
Fax Number
866-939-2673
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
0745 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0745 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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