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Individual

JACOB UMSCHEID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1856 E FLORENCE BLVD STE 1, CASA GRANDE, AZ 85122-5303
(520) 836-5036
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
(520) 836-8807

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66328
AZ
208000000X
Pediatrics Physician
94-09898
KS

Other

Enumeration date
06/03/2019
Last updated
07/28/2022
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