Individual
IAN ALEXANDER JEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
10045 E MADERO AVE, MESA, AZ 85209-1399
(480) 415-4120
Mailing address
1725 S CORONADO RD APT 3101, GILBERT, AZ 85295-0249
(480) 415-4120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009548
AZ
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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