person
Jae-o Bae, MD
Pediatric Surgery Physician in Phoenix, Arizona
NPI 1710196019

Jae-o Bae is a Pediatric Surgery Physician based in Phoenix, AZ and is specialized in Pediatric Surgery. Jae-o Bae practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Jae-o Bae is 1710196019 and holds a License No. 42085 (Arizona).

The current practice location address for Jae-o Bae is 1919 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-933-0016 and via fax at 602-933-4309.

Location: 1919 E Thomas Rd, Phoenix, AZ, 85018-2327
person
Provider Profile Details
NPI Number
1710196019
Provider Name
Jae-o Bae
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1919 E Thomas Rd, Phoenix, AZ, 85018-2327
Phone Number
602-933-0016
Fax Number
602-933-4309
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
430210 05 AZ
institution
Provider Business Practice Location Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-933-0016
Fax Number
602-933-4309
person
Provider Business Mailing Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-933-0016
Fax Number
602-933-4309
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
42085 (Arizona)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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