person
Dr. Jacob John Wolfrum, DPM
Foot & Ankle Surgery Podiatrist in Sun City West, Arizona
NPI 1437649084

Jacob John Wolfrum is a Foot & Ankle Surgery Podiatrist based in Phoenix, AZ and is specialized in Foot & Ankle Surgery. Jacob John Wolfrum practices in Sun City West, AZ and has the professional credentials of DPM. The NPI Number for Jacob John Wolfrum is 1437649084 and holds a License No. (Arizona).

The current practice location address for Jacob John Wolfrum is 14418 W Meeker Blvd # B-205, Sun City West, AZ and can be reached out via phone at 480-788-5621 and via fax at 480-779-1277. You can also correspond with Jacob John Wolfrum through the mailing address at 202 E EARLL DR STE 360, PHOENIX, AZ - 85012-2677 (mailing address contact number: 480-788-5621).

Location: 14418 W Meeker Blvd # B-205, Sun City West, AZ, 85012-2677
person
Provider Profile Details
NPI Number
1437649084
Provider Name
Jacob John Wolfrum
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
14418 W Meeker Blvd # B-205, Sun City West, AZ, 85012-2677
Phone Number
480-788-5621
Fax Number
480-779-1277
Provider Enumeration Date
05/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149399 05 AZ
institution
Provider Business Practice Location Address Details
Address
14418 W Meeker Blvd # B-205
City
State
Zip
85375-5283
Phone Number
480-788-5621
Fax Number
480-779-1277
person
Provider Business Mailing Address Details
Address
202 E Earll Dr Ste 360
City
State
Zip
85012-2677
Phone Number
480-788-5621
Fax Number
480-779-1277
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD-001046 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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