Individual
DR. DEJAN MATIJEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
6029 N 7TH ST, PHOENIX, AZ 85014-1802
(602) 252-6000
Mailing address
1110 E TURNEY AVE APT 5, PHOENIX, AZ 85014-4417
(623) 200-7557
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
19787
AZ
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
19787
AZ
2083P0901X
Public Health & General Preventive Medicine Physician
19787
AZ
2083S0010X
Sports Medicine (Preventive Medicine) Physician
19787
AZ
208D00000X
General Practice Physician
19787
AZ
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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