MR. John Jacob Andreson, ATC

NPI #1780651976 in Tempe, Arizona

Provider Information

NPI Number: 1780651976
Entity Type: Individual
Name: MR. John Jacob Andreson, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ATC
Enumeration Date: Mar 7, 2006
Last Updated: May 23, 2014

Practice Location

Address: 521 SOUTH RURAL ROAD
Address 2: ARIZONA STATE UNIVERSITY
City: Tempe
State: Arizona
ZIP Code: 85281
Phone: (480) 965-8470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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