Individual
DR. JENNIFER ANN GEOGHEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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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