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1043284581
JERALD P UNDERDAHL
PHOENIX, AZ
NPI
1043284581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: AZ 28541)
Enumeration Date
2006-02-13
Last Update Date
2016-06-28
Business Address
-- JERALD P UNDERDAHL MD
1331 N 7TH ST 100
PHOENIX, AZ 85006-2754
Phone number: 602-222-2234
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Mailing Address
-- JERALD P UNDERDAHL MD
PO BOX 97876
PHOENIX, AZ 85060-7876
Phone number: 602-222-2234
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