Individual
DR. JENNIFER JANE FONTIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7450 E PINNACLE PEAK RD, SUITE 156, SCOTTSDALE, AZ 85255-3435
(480) 563-3211
(480) 563-5132
Mailing address
PO BOX 28423, SCOTTSDALE, AZ 85255-0157
(480) 563-3211
(480) 563-5132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35692
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107013333102
IHC-INTERMOUNTAIN HEALTHC
UT
01
—
201232475JJM
EDUCATORS MUTUAL
UT
01
—
219182
ALTIUS
UT
01
—
51981141202001
BLUE CROSS BLUE SHIELD
UT
01
—
75493
DESERET MUTUAL BENEFIT
UT
01
—
79219
PEHP
UT
01
—
P00167591
MEDICARE RAILROAD
UT
01
—
P3436838
OXFORD HEALTH PLANS
UT
01
—
PRA07429
MOLINA
UT
Enumeration date
03/10/2006
Last updated
03/04/2015
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