Individual
DR. JESUS D BRACAMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4120
AZ
207Q00000X
Family Medicine Physician
AZ4120
AZ
Other
Enumeration date
12/06/2005
Last updated
12/27/2023
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