Individual
DR. JENNIFER ANN GEOGHEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9590 E IRONWOOD SQUARE DR, SUITE #108, SCOTTSDALE, AZ 85258-4581
(480) 264-6428
(480) 264-6429
Mailing address
15029 N THOMPSON PEAK PKWY, B111-603, SCOTTSDALE, AZ 85260-2217
(480) 264-6428
(480) 264-6429
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
36143
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
36143
AZ
Other
Enumeration date
06/14/2007
Last updated
10/15/2008
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