Individual
JERALD S ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18700 N 64TH DR, STE 201, GLENDALE, AZ 85308-7114
(623) 566-4718
(623) 566-4820
Mailing address
18700 N 64TH DR, STE 201, GLENDALE, AZ 85308-7114
(623) 566-4718
(623) 566-4820
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26123
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424565
—
AZ
Enumeration date
06/28/2006
Last updated
10/12/2012
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