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Individual

DR. JILL K. ROSSINOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5150 N 16TH ST, STE. B232, PHOENIX, AZ 85016-3925
(602) 441-0008
(866) 571-0383
Mailing address
5150 N 16TH ST, STE. B232, PHOENIX, AZ 85016-3925
(602) 441-0008
(866) 571-0383

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
235649
MA
2085R0001X
Radiation Oncology Physician
Primary
42009
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285812156
BCBS AZ
AZ
05
439764
AZ
Enumeration date
02/04/2008
Last updated
05/03/2013
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