Individual
DR. JEAN LUDGER AMAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961
(480) 507-2971
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26769
AZ
207L00000X
Anesthesiology Physician
Primary
26769
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513607
—
AZ
Enumeration date
09/23/2005
Last updated
03/07/2023
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