Individual
JONATHAN DALE HALLEY-IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9321 W THOMAS RD STE 202, PHOENIX, AZ 85037-3392
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(669) 742-6738
(669) 392-6738
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5792
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/10/2014
Last updated
02/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us