Individual
JENNIFER ROSE WATRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9735 N 90TH PL, SCOTTSDALE, AZ 85258
(480) 222-4954
(602) 297-6556
Mailing address
9735 N 90TH PL, SCOTTSDALE, AZ 85258-5067
(480) 222-4954
(602) 297-6556
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5013
AZ
Other
Enumeration date
12/05/2011
Last updated
06/29/2018
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