Individual
DR. JACQUE JENNING SOKOLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5685 N SCOTTSDALE RD, E100, SCOTTSDALE, AZ 85250-5900
(480) 707-4521
Mailing address
5685 N SCOTTSDALE RD, E100, SCOTTSDALE, AZ 85250-5900
(480) 707-4521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25099
MN
207R00000X
Internal Medicine Physician
Primary
33896
AZ
207R00000X
Internal Medicine Physician
G0148
TX
207R00000X
Internal Medicine Physician
G39470
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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