institution
Travis S Jensen Dpm Pc
Foot & Ankle Surgery Podiatrist in Surprise, Arizona
NPI 1528496411

Travis S Jensen Dpm Pc is a Foot & Ankle Surgery Podiatrist based in Peoria, AZ and is specialized in Foot & Ankle Surgery. Travis S Jensen Dpm Pc practices in Surprise, AZ. The NPI Number for Travis S Jensen Dpm Pc is 1528496411 and holds a License No. (Arizona).

The current practice location address for Travis S Jensen Dpm Pc is 12361 W Bola Dr, Surprise, AZ and can be reached out via phone at 623-584-5626.

Location: 12361 W Bola Dr, Surprise, AZ, 85380-1149
institution
Provider Profile Details
NPI Number
1528496411
Provider Name
Travis S Jensen Dpm Pc
Credential
Provider Entity Type
Organization
Address
12361 W Bola Dr, Surprise, AZ, 85380-1149
Phone Number
623-584-5626
Fax Number
Provider Enumeration Date
10/31/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
251822 05 AZ
institution
Provider Business Practice Location Address Details
Address
12361 W Bola Dr
City
State
Zip
85378-9021
Phone Number
623-584-5626
Fax Number
person
Provider Business Mailing Address Details
Address
12361 W Bola Dr
City
State
Zip
85378-9021
Phone Number
623-584-5626
Fax Number
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...
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