Individual
DR. JORGE E UCEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1432 S DOBSON RD, #301, MESA, AZ 85202-4768
(480) 464-9400
(480) 464-9401
Mailing address
525 W BROWN RD FL 9, ATTN: CREDENTIALING, MESA, AZ 85201-3202
(480) 684-6341
(480) 684-5024
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
33235
MI
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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