Individual
BRIAN THOMAS JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 W VAN BUREN ST STE T, AVONDALE, AZ 85323-1307
(623) 932-9905
(623) 932-6901
Mailing address
501 W VAN BUREN ST STE T, AVONDALE, AZ 85323-1307
(623) 932-9905
(623) 932-6901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5296
AZ
Other
Enumeration date
10/23/2012
Last updated
02/21/2024
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