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John Nicholas Dement, M.D

Family Medicine in Glendale, AZ. Individual provider (NPI-1).

NPI number1235200767
StatusActive
Last updated in NPPESJan 7, 2013

Details

NPI
1235200767
Entity type
Individual (NPI-1)
Name
John Nicholas Dement
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2006
Last updated
Jan 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine29926AZYes

Practice location

23825 N 36th Dr
Glendale, AZ 85310-4171

Phone 480-297-5152 · Fax 877-628-9505

Mailing address

23825 N 36th Dr
Glendale, AZ 85310-4171

Phone 480-297-5152 · Fax 877-628-9505

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