Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 0751 | AZ |
NPI | 1003141029 |
---|---|
Provider Name | Dr. Jennifer Lynne Pappalardo |
First Address | Tucson, AZ 85712-2809 |
Second Address | Worcester, MA 01608-1216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2009 |
Last Update Date | 12/07/2013 |