Search › Arizona › 225100000X
Jack Little
NPI 1669029609 · on the registry since 2019
Practice
- Address
- 9000 W Thunderbird Rd # 205
Peoria, AZ 85381 - Phone
- (602) 491-1948
- Fax
- (720) 925-5897
Additional practice sites
- 9784 W Yearling Rd Ste 1520, Peoria, AZ
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 208100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-31
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