JASON SCOTT COUCH

PHOENIX, AZ
NPI1093009672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: AZ  006693)
Additional Taxonomies208000000X Pediatrics
(Licence: AZ  006693)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-06-01
Last Update Date2017-07-30
Business Address
Dr. JASON SCOTT COUCH D.O.
2510 W DUNLAP AVE STE 290 SUITE # 290
PHOENIX, AZ 85021-2759
Phone number: 602-789-0344
Mailing Address
Dr. JASON SCOTT COUCH D.O.
3829 E DEWBERRY AVE
MESA, AZ 85206-1826
Phone number: 480-381-3103