Individual provider · NPI-1
Jennifer K. Dais, M.D.
Pain Medicine, Interventional Pain Medicine · Peoria, AZ
NPI number1982982591
StatusActive
Last updated in NPPESAug 23, 2023
Details
- NPI
- 1982982591
- Entity type
- Individual (NPI-1)
- Name
- Jennifer K. Dais
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2011
- Certification date
- Aug 23, 2023
- Last updated
- Aug 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 52011 | AZ | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | TP1-0052120 | TX | |
| 207LP2900X | Anesthesiology, Pain Medicine | 52011 | AZ |
Practice location
9242 W Union Hills Dr Bldg D100-101Peoria, AZ 85382-8218
Phone 602-644-7004 · Fax 602-644-7003
Mailing address
9242 W Union Hills Dr Ste 100-101Peoria, AZ 85382-8218
Phone 602-644-7004 · Fax 602-644-7003
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