Individual
JEREMY NEBEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18275 N 59TH AVENUE, BLDG K 162, GLENDALE, AZ 85308-1254
(602) 547-8184
(602) 547-8339
Mailing address
18275 N 59TH AVENUE, BLDG K 162, GLENDALE, AZ 85308-1254
(602) 547-8184
(602) 547-8339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49415
AZ
Other
Enumeration date
05/02/2011
Last updated
11/07/2014
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