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Organization

JABEZ-BLOCHER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH SHERMAN BLOCHER DPM (CEO)
(480) 200-3016
Entity
Organization

Contact information

Practice address
7400 S POWER RD, #120, GILBERT, AZ 85297-9281
(480) 200-3016
Mailing address
8490 S POWER RD, #105-244, GILBERT, AZ 85297-8028
(480) 200-3016

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0359
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
315227
AZ
Enumeration date
11/06/2007
Last updated
04/15/2010
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