| Jetmed | |
|
4129 W Copper Moon Way Phoenix AZ 85087-5833 | |
| (480) 201-6814 | |
| Not Available |
| Full Name | Jetmed |
|---|---|
| Speciality | General Practice |
| Location | 4129 W Copper Moon Way, Phoenix, Arizona |
| Authorized Official Name and Position | Randy S Hann (CEO) |
| Authorized Official Contact | 4802016814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jetmed 4129 W Copper Moon Way Phoenix AZ 85087-5833 | Jetmed 4129 W Copper Moon Way Phoenix AZ 85087-5833 Ph: (480) 201-6814 |
| NPI Number | 1497608004 |
|---|---|
| Provider Enumeration Date | 02/16/2026 |
| Last Update Date | 02/16/2026 |
| Certification Date | 02/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497608004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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