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Jason Theobald, M.D
NPI 1700249067 · on the registry since 2016
Practice
- Address
- 1111 E Mcdowell Rd
Phoenix, AZ 85006 - Phone
- (480) 500-2540
- Fax
- (623) 201-7954
- Organisation at this address
- Banner Health
Banner Health
Anita R Ramaiah Md
Banner Family Pharmacy
Peter P. Mckellar Md, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 546
Additional practice sites
- 1000 10th Ave, New York, NY
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-10
- Status
- Not present in the most recent federal file
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