Individual
MR. JAY DOUGLAS BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1941 W. GUADALUPE RD. SUITE 109, MESA, AZ 85202
(480) 491-3563
(480) 491-3572
Mailing address
17233 N HOLMES BLVD STE 1650, PHOENIX, AZ 85053-2031
(480) 491-3563
(480) 491-3572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13657
AZ
Other
Enumeration date
06/05/2018
Last updated
06/26/2018
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