Individual
JAIME R COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
5605 W EUGIE AVE STE 110, GLENDALE, AZ 85304-1273
(623) 847-2000
Mailing address
16760 W HILTON AVE, GOODYEAR, AZ 85338-7400
(785) 845-4501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3559
AZ
363A00000X
Physician Assistant
3559
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/10/2006
Last updated
09/02/2021
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