Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 12781 | AZ |
N | 207VE0102X | Reproductive Endocrinologist | 12781 | AZ |
NPI | 1205922416 |
---|---|
Provider Name | Mr. Jay S Nemiro |
First Address | Scottsdale, AZ 85260 |
Second Address | Scottsdale, AZ 85260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |