Individual
ANDREANNE M JODOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0076
Mailing address
570 W 6TH ST, TEMPE, AZ 85281-2794
(514) 889-7304
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R77231
AZ
207VG0400X
Gynecology Physician
R77231
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10654119
ECFMG
AZ
01
—
R77231
ARIZONA MEDICAL BOARD
AZ
Enumeration date
07/22/2019
Last updated
11/27/2023
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