Individual
JOHN NICHOLAS DEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
23825 N 36TH DR, GLENDALE, AZ 85310-4171
(480) 297-5152
(877) 628-9505
Mailing address
23825 N 36TH DR, GLENDALE, AZ 85310-4171
(480) 297-5152
(877) 628-9505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29926
AZ
Other
Enumeration date
11/13/2006
Last updated
01/07/2013
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