Individual
GREGORY JARRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30338
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437683
—
AZ
01
—
P00468244
RAILROAD MEDICARE
AZ
Enumeration date
03/07/2007
Last updated
12/15/2025
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