Individual
JOHN A NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8205 N. VIA DE NEGOCIO DR., SCOTTSDALE, AZ 85258-2312
(480) 451-3668
(480) 451-3669
Mailing address
9393 N 90TH ST, SUITE 102-126, SCOTTSDALE, AZ 85258-5040
(480) 451-3668
(480) 451-3669
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
28964
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636516
—
AZ
Enumeration date
01/17/2006
Last updated
12/17/2008
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