Individual
JODEE AILEEN WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3812
AZ
363AM0700X
Medical Physician Assistant
270015-1206
UT
363AS0400X
Surgical Physician Assistant
270015-1206
UT
Other
Enumeration date
08/27/2007
Last updated
09/08/2020
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