Individual
JARED CHRISTIAN INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST STE 2586A, LOMA LINDA, CA 92354-2804
(909) 558-8558
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
43671
AZ
207Y00000X
Otolaryngology Physician
Primary
A94766
CA
207Y00000X
Otolaryngology Physician
N2575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203915801
—
TX
05
—
556456
—
AZ
Enumeration date
02/11/2008
Last updated
03/25/2022
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