Individual provider · NPI-1

Jerald S Altman, MD

Otolaryngology · Glendale, AZ

NPI number1972531358
StatusActive
Last updated in NPPESOct 12, 2012

Details

NPI
1972531358
Entity type
Individual (NPI-1)
Name
Jerald S Altman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2006
Last updated
Oct 12, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology26123AZYes

Practice location

18700 N 64th Dr
Ste 201
Glendale, AZ 85308-7114

Phone 623-566-4718 · Fax 623-566-4820

Mailing address

18700 N 64th Dr
Ste 201
Glendale, AZ 85308-7114

Phone 623-566-4718 · Fax 623-566-4820

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