Individual
MINDY JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1645 N SWAN RD, TUCSON, AZ 85712-4046
(520) 327-6265
(520) 327-9300
Mailing address
2121 N. BEVERLY AVE, STE 105, TUCSON, AZ 85712-2154
(520) 327-6265
(520) 327-9300
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
33714
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
917958
—
AZ
Enumeration date
07/13/2005
Last updated
10/04/2021
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