Individual
DAVID J JAGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2009 E 5TH ST STE 9, STE 9, TEMPE, AZ 85281-3067
(480) 237-9377
(480) 237-9377
Mailing address
PO BOX 841, QUEEN CREEK, AZ 85142-1817
(480) 237-9377
(480) 237-9377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25979
AZ
Other
Enumeration date
11/04/2005
Last updated
03/21/2012
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