JDL-CTSPA is a surgical physician assistant in Laveen, AZ. JDL-CTSPA NPI is 1831353382. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4521 W HOPI TRL
LAVEEN, AZ
ZIP 85339-068
Phone: (602) 795-3371
The provider's authorized official is Jeanine Diane Lutgen .
The authorized official title is Manager and has the following contact phone number (602) 795-3371.
The enumeration date for this NPI number is 7/14/2008 and was last updated on 4/8/2019.