Individual
DR. JEFFREY THOMAS ABILDGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1675 E MELROSE ST STE 101-103, GILBERT, AZ 85297-1001
(480) 964-2908
(602) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
56027
AZ
207X00000X
Orthopaedic Surgery Physician
MD177814
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
56027
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438348
—
AZ
01
—
56027
LICENSE
AZ
01
—
MD177814
LICENSE
OR
Enumeration date
06/01/2010
Last updated
07/25/2022
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