Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 56977 | AZ |
N | 207X00000X | Orthopaedic Surgeon | R76264 | AZ |
NPI | 1013379387 |
---|---|
Provider Name | Dr. Jaymeson Arthur |
First Address | Phoenix, AZ 85054-4502 |
Second Address | Phoenix, AZ 85054-4502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 18/02/2021 |