Individual
JASON SERBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9400 W MARYLAND AVE, GLENDALE, AZ 85305-3114
(623) 772-3715
Mailing address
9400 W MARYLAND AVE, GLENDALE, AZ 85305-3114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0850
AZ
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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