Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 37292 | AZ |
NPI | 1124125174 |
---|---|
Provider Name | Dr. Jason Aaron Salganick |
First Address | Chandler, AZ 85246-6423 |
Second Address | Phoenix, AZ 85028-6025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 21/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
280343 | (05) | AZ |