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Individual

AMY L JENCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
9003 E SHEA BLVD, SCOTTSDALE, AZ 85260-6709
(480) 323-3383
Mailing address
1 UNIVERSITY OF NEW MEXICO MSC PATHOLOGY, ALBUQUERQUE, NM 87131-0001
(505) 938-8456

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
A-2034-17
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
007981
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2012
Last updated
05/17/2019
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