Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jetmed

Organization General Practice Physician · NPI 1497608004

Jetmed is a General Practice Physician in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4129 W Copper Moon Way
Phoenix, AZ 85087-5833
Phone: (480) 201-6814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1497608004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Hann — Ceo · (480) 201-6814
NPI enumeratedFebruary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address4129 W Copper Moon Way, Phoenix, AZ 85087-5833

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