Individual
JACOB DEMENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54941
AZ
Other
Enumeration date
04/14/2016
Last updated
04/27/2020
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