Organization
JTCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR T FERGUSON (OWNER)
(480) 331-1745
Entity
Organization
Contact information
Practice address
2730 S VAL VISTA DR STE 152, GILBERT, AZ 85295-1682
(480) 466-6156
Mailing address
2730 S VAL VISTA DR STE 152, GILBERT, AZ 85295-1682
(480) 466-6156
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
02/15/2023
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