Individual
JAMIE M CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1641 E GUADALUPE RD, GILBERT, AZ 85234-8168
(480) 813-4233
(480) 813-4490
Mailing address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5551
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
930891
—
AZ
Enumeration date
01/11/2007
Last updated
11/06/2014
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