Individual
JORGEN SPAFFORD SUMSION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, PHOENIX, AZ 85054
(480) 515-6296
Mailing address
800 ROSE STREET, MN 275, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R80164
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
08/18/2023
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