Jacob Medford
Jacob Medford is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Tempe, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2021
Practice location Address checks out
1204 E Baseline Rd Ste 205Tempe, AZ 85283-1453
Phone: (619) 708-1440
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Specialties & licences
| Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) | Taxonomy 261QR0401X (AZ) |
|---|
Record details
| NPI number | 1497415475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2021 |
| Last updated in NPPES | December 18, 2021 |
| Certification date | December 17, 2021 |
| Mailing address | 44276 W Neely Dr, Maricopa, AZ 85138-9427 |
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