Individual
DR. JENNIFER L. MATCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5561
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5561
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
36463
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
46658
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784216
—
AZ
01
—
P00733600
BCBSAZ
AZ
Enumeration date
07/27/2006
Last updated
07/16/2019
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