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Individual

DR. JODIE K LABOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5823 W EUGIE AVE, STE A, GLENDALE, AZ 85304-1276
(602) 843-1265
(602) 843-1297
Mailing address
3020 NE CAMELBACK RD, SUITE 301, PHOENIX, AZ 85016-5095
(602) 264-9100
(602) 264-9101

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
26966
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120390
GROUP MEDICARE NUMBER
AZ
01
317047
GROUP MEDICAID NUMBER
AZ
05
439621 01
AZ
Enumeration date
02/27/2006
Last updated
02/16/2017
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