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Travis Steven Jensen, DPM
Foot & Ankle Surgery Podiatrist in Surprise, Arizona
NPI 1659366342

Travis Steven Jensen is a Foot & Ankle Surgery Podiatrist based in Surprise, AZ and is specialized in Foot & Ankle Surgery. Travis Steven Jensen practices in Surprise, AZ and has the professional credentials of DPM. The NPI Number for Travis Steven Jensen is 1659366342 and holds a License No. 16005134 (Arizona).

The current practice location address for Travis Steven Jensen is 12361 W Bola Dr, Surprise, AZ and can be reached out via phone at 623-584-5626 and via fax at 623-584-8998.

Location: 12361 W Bola Dr, Surprise, AZ, 85378-9021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659366342
Provider Name
Travis Steven Jensen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
12361 W Bola Dr, Surprise, AZ, 85378-9021
Phone Number
623-584-5626
Fax Number
623-584-8998
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
96004401 05 IL
0581740001 01 IL DMERC
60010789 01 IL BCBS
1659366342 01 AZ BC/BS
118419 01 AZ RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
12361 W Bola Dr
City
Surprise
State
Arizona
Zip
85378-9021
Phone Number
623-584-5626
Fax Number
623-584-8998
person
Provider Business Mailing Address Details
Address
12361 W Bola Dr
City
Surprise
State
Arizona
Zip
85378-9021
Phone Number
623-584-5626
Fax Number
623-584-8998
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
665 (Arizona)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
16005134 (Illinois)
Definition
Definition to come...
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