Individual
MR. JAY ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
901 W 24TH ST, YUMA, AZ 85364-6384
(928) 726-5000
(928) 344-3614
Mailing address
901 W 24TH ST, YUMA, AZ 85364-6384
(928) 726-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1238
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650021638
RAILROAD MEDICARE
AZ
01
—
AZ0293620
BLUE CROSS OF AZ
AZ
Enumeration date
04/07/2006
Last updated
12/22/2011
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