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

Dr. Jonathan David Roe, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679120794

Dr. Jonathan David Roe, MD is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2019.

Licensed in
AZ
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 N 12th St Ste 508
Phoenix, AZ 85006-2849
Phone: (602) 839-3927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence R82400 (AZ)

Record details

NPI number1679120794
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

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