Jacqueline I. Doris in Phoenix - Family Medicine
Jacqueline I. Doris - NPI 1922090992
Jacqueline I. Doris is a Family Medicine in Phoenix, Arizona. Jacqueline I. Doris practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jacqueline I. Doris is 1922090992. The last update date is 2013-09-24.
Jacqueline I. Doris's current location address is 4131 N 24th St, Phoenix, Arizona. You can contact this provider via phone number 6029556632 and fax number 6023811341. The mailing address for Jacqueline I. Doris is 4131 N 24th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline I. Doris |
|---|---|
| Address | 4131 N 24th St, Phoenix, Arizona |
| Phone Number | 6029556632 |
| Fax Number | 6023811341 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922090992 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2013-09-24 |
Provider Mailing Address Detail
| Address | 4131 N 24th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850166262 |
| Phone Number | 6029556632 |
| Fax Number | 6023811341 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 24281 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 358946 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jacqueline I. Doris?
The Jacqueline I. Doris has been issued the NPI (National Provider Identifier) 1922090992 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jacqueline I. Doris is physically located?
The Jacqueline I. Doris is physically situated at the following address: 4131 N 24Th St, Phoenix, AZ, 850166262.
What is the Jacqueline I. Doris's specialty and taxonomy code?
The Jacqueline I. Doris's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922090992 to Jacqueline I. Doris?
The Centers for Medicare & Medicaid Services assigned the 1922090992 to Jacqueline I. Doris on 2005-08-16.
As of what date were the details related to Jacqueline I. Doris most recently updated or revised?
The information pertaining to Jacqueline I. Doris, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-24.