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Individual

MR. ALY JIWANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20950 N TATUM BLVD STE 100, PHOENIX, AZ 85050-4204
(480) 222-7246
Mailing address
5704 E AIRE LIBRE AVE UNIT 1104, SCOTTSDALE, AZ 85254-1222
(214) 727-9718

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
322768
AZ
363L00000X
Nurse Practitioner
Primary
322768
AZ

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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