Individual
JATINDER SINGH PUREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6677W THUNDERBIRD RD I164, GLENDALE, AZ 85306-3762
(623) 334-0376
Mailing address
5441W PARK VIEW LN, GLENDALE, AZ 85310-2944
(623) 334-0376
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36732
AZ
Other
Enumeration date
03/26/2007
Last updated
08/02/2015
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