Individual
JEROME PATRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 E SOUTHERN AVE STE 102, TEMPE, AZ 85282-7510
(480) 820-9141
Mailing address
2000 E SOUTHERN AVE STE 102, TEMPE, AZ 85282-7510
(480) 820-9141
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2031
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239138
—
AZ
Enumeration date
08/01/2006
Last updated
11/28/2018
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