Individual
JENNIFER G CASANOVA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 W BELL RD, PHOENIX, AZ 85023-3507
(602) 588-3800
Mailing address
710 W BELL RD, PHOENIX, AZ 85023-3507
(602) 588-3800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29245
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724212
—
AZ
Enumeration date
01/13/2006
Last updated
07/08/2007
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