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Organization

JMM VENTURES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TY ROBERT WITT MD (PRESIDENT)
(623) 215-6532
Entity
Organization

Contact information

Practice address
19610 N 68TH AVE, GLENDALE, AZ 85308-5515
(623) 215-6532
Mailing address
19610 N 68TH AVE, GLENDALE, AZ 85308-5515
(623) 215-6532

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30147
AZ

Other

Enumeration date
03/19/2009
Last updated
03/19/2009
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