Individual
JOHN GEOFFREY SOLLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
44 W MONROE ST, #1907, PHOENIX, AZ 85003-4553
(630) 939-0772
Mailing address
44 W MONROE ST, #1907, PHOENIX, AZ 85003-4553
(630) 939-0772
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
005711
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
OP60141909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621467
—
AZ
Enumeration date
12/28/2006
Last updated
12/30/2011
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