# JONATHAN KIRSCH,DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972781110
- **Authorized official:** LUANN M CLICK (MANAGER)
- **Authorized official phone:** (602) 547-2200

## Contact information

- **Practice address:** 5830 W THUNDERBIRD RD, STE B-8 PMB 182, GLENDALE, AZ 85306-4654
- **Practice address phone:** (602) 547-2200
- **Mailing address:** 5830 W THUNDERBIRD RD, STE B-8 PMB 182, GLENDALE, AZ 85306-4654
- **Mailing address phone:** (602) 547-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 3247 | AZ | Yes |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 02/08/2008