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Individual

JENNIFER L AUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
855 E WARNER RD STE F-100, URGENT CARE EXTRA, CHANDLER, AZ 85225-0997
(480) 620-6724
Mailing address
855 E WARNER RD STE R-100, URGENT CARE EXTRA, CHANDLER, AZ 85225-0997
(480) 620-6724

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2936
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
824997
AZ
Enumeration date
04/06/2007
Last updated
05/11/2015
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