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Individual

JOHN J HEMBRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7709
(480) 512-3700
Mailing address
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7709
(480) 512-3700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009044
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508844309
IA
05
4296061
IA
05
5296061
IA
05
6296061
IA
05
7296061
IA
01
P00266823
RR MEDICARE
IA
01
P00345237
RR MEDICARE
IA
Enumeration date
01/03/2006
Last updated
08/20/2021
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