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Individual

JEFFREY T. SUGIMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 W THOMAS RD, PHOENIX, AZ 85013
(602) 406-3874
(602) 212-4768
Mailing address
3030 N CENTRAL AVE STE 1001, PHOENIX, AZ 85012-2716
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
17323
NE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
51636
AZ

Other

Enumeration date
08/21/2006
Last updated
07/25/2019
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