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Individual

DR. MICHELLE L JEFFRIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1100 S DOBSON RD STE 223, CHANDLER, AZ 85286-6160
(480) 821-8888
(480) 821-0888
Mailing address
1100 S DOBSON RD STE 223, CHANDLER, AZ 85286-6160
(480) 821-8888
(480) 821-0888

Taxonomy

Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
005347
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669703286
BLUE CROSS BLUE SHIELD
AZ
01
3873832
CIGNA
AZ
01
4Z2977
HEALTH NET
AZ
01
545954
AHCCCS
AZ
05
545954
AZ
01
P00858778
RAILROAD MEDICARE
AZ
Enumeration date
01/21/2010
Last updated
08/25/2021
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