Candice Jensen MD Pllc

NPI #1578729901 in Yuma, Arizona

Provider Information

NPI Number: 1578729901
Entity Type: Organization
Organization Name: Candice Jensen MD Pllc
Primary Specialty: Surgery
Enumeration Date: Aug 5, 2008
Last Updated: Feb 21, 2012

Practice Location

Address: 2503 S AVE A
Address 2: SUITE 3
City: Yuma
State: Arizona
ZIP Code: 85364-7173
Phone: (928) 344-3250

Authorized Official

Name: CANDICE MICHELLE JENSEN, MD
Title: SOLE MEMBER
Phone: (928) 344-3250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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