Individual
MS. JESSICA MADELINE SPONTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(630) 297-1573
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
03/19/2024
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