Individual
DR. JAKE THOMAS HILLYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N 12TH ST STE 508, PHOENIX, AZ 85006-2849
(602) 839-3927
(602) 839-4233
Mailing address
1300 N 12TH ST STE 508, PHOENIX, AZ 85006-2849
(602) 839-3927
(602) 839-4233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73038
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2021
Last updated
06/15/2024
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