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Search › Arizona › 213ES0103X

Travis Jensen, DPM

NPI 1659366342 · on the registry since 2005

Practice

Address
12361 W Bola Dr
Ste 100
Surprise, AZ 85378
Phone
(623) 584-5626
Fax
(623) 584-8998
Organisation at this address
Sr Billing
Raghav Llc
Thinh Le Pllc
Physician United, Llc
Lawrence Kelly, Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Also registered as
213E00000X
Licence states on file
IL, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona