Individual
DR. JAY GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1521 E TANGERINE RD, SUITE 311, ORO VALLEY, AZ 85755-6225
(520) 797-3111
(520) 326-2575
Mailing address
PO BOX 2425, SKYLAND, NC 28776-2425
(828) 277-1300
(828) 277-2499
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
20520
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123662
—
AZ
Enumeration date
06/28/2006
Last updated
10/03/2011
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