Individual
JENNA COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13065 W MCDOWELL RD STE C130, AVONDALE, AZ 85392-6448
(623) 846-7575
(623) 846-3778
Mailing address
13065 W MCDOWELL RD STE C130, AVONDALE, AZ 85392-6448
(623) 846-7575
(623) 846-3778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
012498
AZ
208000000X
Pediatrics Physician
125.082892
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
07/14/2026
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