Blaine S. Jensen, PA-C

NPI #1023129996 in Superior, Arizona

Provider Information

NPI Number: 1023129996
Entity Type: Individual
Name: Blaine S. Jensen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 31, 2006
Last Updated: Dec 11, 2014

Practice Location

Address: 1134 W HWY 60
City: Superior
State: Arizona
ZIP Code: 85273-2647
Phone: (520) 689-2423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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