Jasper Lao Puracan, MDMPH
Jasper Lao Puracan, MDMPH is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2021.
- Licensed in
- AZ
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1300 N 12th St Ste 320Phoenix, AZ 85006-2858
Phone: (602) 521-3050
Fax: (602) 521-3046
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 70161 (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1598345027 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDMPH |
| Sole proprietor | No |
| NPI enumerated | April 9, 2021 |
| Last updated in NPPES | November 30, 2023 |
| Certification date | November 30, 2023 |
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Samirah Qabazard, DO
1300 N 12th St Ste 320, Phoenix, AZ 85006-2858 · (602) 521-3050