Individual
JODY REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7600 N 15TH ST STE 191, PHOENIX, AZ 85020-4348
(602) 200-6999
(602) 200-6990
Mailing address
7600 N 15TH ST STE 191, PHOENIX, AZ 85020-4348
(602) 200-6999
(602) 200-6990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21445
AZ
Other
Enumeration date
04/13/2007
Last updated
10/11/2019
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