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1043271463
JEFFREY C PROUDFOOT
PHOENIX, AZ
NPI
1043271463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: AZ 2668)
Enumeration Date
2006-03-28
Last Update Date
2007-07-08
Business Address
-- JEFFREY C PROUDFOOT D.O.
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-546-1000
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Mailing Address
-- JEFFREY C PROUDFOOT D.O.
1919 E THOMAS RD BLDG. C MANAGED CARE
PHOENIX, AZ 85016-7710
Phone number: 602-546-0486
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