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Individual

DR. JESPER REIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
8300 N HAYDEN RD, SUITE 207, SCOTTSDALE, AZ 85258-2458
(480) 922-2700
Mailing address
8300 N HAYDEN RD, SUITE 207, SCOTTSDALE, AZ 85258-2458
(480) 922-2700

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4993
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0237330
BSBC
AZ
05
DC4993
AZ
Enumeration date
08/16/2007
Last updated
08/17/2007
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