Individual
DR. WADE ALLAN JESPERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
19350 E SILVER CREEK LN, QUEEN CREEK, AZ 85142-9064
(480) 718-5400
(877) 666-4624
Mailing address
14050 N 83RD AVE, STE 290, PEORIA, AZ 85381-5650
(888) 495-4489
(602) 865-8090
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0843
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006516
PA
Other
Enumeration date
07/11/2013
Last updated
05/09/2019
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