Individual
DR. JON NOTTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4331 E BASELINE RD, STE B106-625, GILBERT, AZ 85234-2961
(480) 834-1211
Mailing address
2931 N TENAYA WAY, STE 102, LAS VEGAS, NV 89128-0456
(480) 981-0216
(480) 981-1151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754102
—
AZ
Enumeration date
06/22/2006
Last updated
12/14/2007
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