Organization
JERITY ENTERPRISES, LLC
Active
Other names
Macrotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY DON SANSTEAD JR. (MEMBER)
(602) 308-8383
Entity
Organization
Contact information
Practice address
14362 N FRANK LLOYD WRIGHT BLVD, SUITE B109, SCOTTSDALE, AZ 85260-8846
(602) 308-8383
(480) 699-6413
Mailing address
1063 N OPAL, MESA, AZ 85207-2275
(602) 308-8383
(480) 699-6413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07625378E
AZ
Other
Enumeration date
03/11/2008
Last updated
05/06/2008
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