Page, Jeffrey Clarke

Page, Jeffrey Clarke is an individual health care provider with primary practice located at 19389 N 59Th Ave , Glendale AZ 85308-6500. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Page, Jeffrey Clarke can be contacted via phone (623) 537-6000.

Contact Information

Primary practice address
19389 N 59Th Ave Glendale AZ 85308-6500
Phone: (623) 537-6000
Fax: (623) 537-6014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0623 Arizona

Profile Details

NPI number 1164524138
LBN Legal business name Page, Jeffrey Clarke
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Dec 22nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164524138 NPPES
Arizona MEDICAID 364313

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