Organization
DZIDUCH MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE DZIDUCH FNP-C (OWNER)
(480) 286-0538
Entity
Organization
Contact information
Practice address
2680 E GERMANN RD, CHANDLER, AZ 85286-1423
(480) 712-9100
(480) 597-1701
Mailing address
2680 E GERMANN RD, CHANDLER, AZ 85286-1423
(480) 286-0538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
04/24/2023
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