Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 53876 | AZ |
NPI | 1609195957 |
---|---|
Provider Name | Mr. David Eric Jaffe |
First Address | Salt Lake City, UT 84127-1429 |
Second Address | Scottsdale, AZ 85254-5950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2010 |
Last Update Date | 30/10/2018 |