Jerald P Underdahl, MD

NPI #1043284581 in Phoenix, Arizona

Provider Information

NPI Number: 1043284581
Entity Type: Individual
Name: Jerald P Underdahl, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Feb 13, 2006
Last Updated: Jun 28, 2016

Practice Location

Address: 1331 N 7TH ST
Address 2: 100
City: Phoenix
State: Arizona
ZIP Code: 85006-2754
Phone: (602) 222-2234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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