JONATHAN D FOSBRE

GLENDALE, AZ
NPI1306203195
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP8420)
Enumeration Date2016-01-25
Last Update Date2016-12-12
Business Address
Mr. JONATHAN D FOSBRE NP-C
5891 W EUGIE AVE
GLENDALE, AZ 85304-1252
Phone number: 602-588-6725
Mailing Address
Mr. JONATHAN D FOSBRE NP-C
5891 W EUGIE AVE
GLENDALE, AZ 85304-1252
Phone number: 602-588-6725