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Individual

JOHN MATHER DAVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
702 E BELL RD STE 119, PHOENIX, AZ 85022-6639
(602) 358-8588
(602) 688-6991
Mailing address
7330 N 16TH ST STE B101, PHOENIX, AZ 85020-5274
(602) 358-8588
(602) 688-6991

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
58112
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/25/2015
Last updated
12/18/2023
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