Individual
POOL JEFFERSON TOBAR VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(803) 018-0004
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(803) 018-0004
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
65949
AZ
Other
Enumeration date
04/26/2018
Last updated
08/29/2022
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