Individual
DR. JACQUELINE BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 W SOUTHERN AVE, TEMPE, AZ 85282-4512
(480) 968-7200
(480) 968-5100
Mailing address
950 W SOUTHERN AVE, TEMPE, AZ 85282-4512
(480) 968-7200
(480) 968-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036071787
IL
207Q00000X
Family Medicine Physician
Primary
42524
AZ
Other
Enumeration date
08/19/2006
Last updated
08/27/2014
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