person
Jacob Medford
Comprehensive Outpatient Rehabilitation Facility (CORF) in Tempe, Arizona
NPI 1497415475

Jacob Medford is a Comprehensive Outpatient Rehabilitation Facility (CORF) based in Maricopa, AZ and is specialized in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Jacob Medford practices in Tempe, AZ. The NPI Number for Jacob Medford is 1497415475 and holds a License No. (Arizona).

The current practice location address for Jacob Medford is 1204 E Baseline Rd Ste 205, Tempe, AZ and can be reached out via phone at 619-708-1440.

Location: 1204 E Baseline Rd Ste 205, Tempe, AZ, 85138-9427
person
Provider Profile Details
NPI Number
1497415475
Provider Name
Jacob Medford
Credential
Provider Entity Type
Individual
Gender
Male
Address
1204 E Baseline Rd Ste 205, Tempe, AZ, 85138-9427
Phone Number
619-708-1440
Fax Number
Provider Enumeration Date
12/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1204 E Baseline Rd Ste 205
City
State
Zip
85283-1453
Phone Number
619-708-1440
Fax Number
person
Provider Business Mailing Address Details
Address
1204 E Baseline Rd Ste 205
City
State
Zip
85283-1453
Phone Number
619-708-1440
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
License No.
(Arizona)
Definition
Definition to come...
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