Individual
JEFFREY J LADERACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
10901 E MCDOWELL RD, SCOTTSDALE, AZ 85256-5300
(480) 278-7742
Mailing address
10901 E MCDOWELL RD, SCOTTSDALE, AZ 85256-5300
(480) 278-7742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
257358
AZ
363LF0000X
Family Nurse Practitioner
4704207865NSA2100Y
MI
Other
Enumeration date
03/02/2021
Last updated
08/01/2023
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