JACOB CHARLES SHALKEVICH

PHOENIX, AZ
NPI1184319329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-05
Last Update Date2023-04-05
Business Address
JACOB CHARLES SHALKEVICH MD
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0945
Mailing Address
JACOB CHARLES SHALKEVICH MD
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0945