Individual
JENNA WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4540 E BASELINE RD STE 109, MESA, AZ 85206-4616
(480) 982-3337
(480) 497-4580
Mailing address
4540 E BASELINE RD STE 109, MESA, AZ 85206-4616
(480) 982-3337
(480) 497-4580
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
58462
AZ
Other
Enumeration date
03/31/2013
Last updated
06/20/2022
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