JUPITER MEDICAL SERVICES LLC NPI 1407418395

NPI Information

JUPITER MEDICAL SERVICES LLC is a foot and ankle surgery podiatrist in Peoria, AZ. JUPITER MEDICAL SERVICES LLC NPI is 1407418395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13660 N 94TH DR # D-1
PEORIA, AZ
ZIP 85381-836
Phone: (623) 974-0522

The provider's authorized official is Daniel Bangart .
The authorized official title is Manager and has the following contact phone number (623) 974-0522.

The enumeration date for this NPI number is 7/1/2019 and was last updated on 12/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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