JACOB A MATHER

GLENDALE, AZ
NPI1457022337
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  264233)
Enumeration Date2021-09-21
Last Update Date2021-09-21
Business Address
Mr. JACOB A MATHER MSN, CRNA
18701 N 67TH AVE
GLENDALE, AZ 85308-7100
Phone number: 623-561-1000
Mailing Address
Mr. JACOB A MATHER MSN, CRNA
17632 N 114TH LN
SURPRISE, AZ 85378-6982
Phone number: 480-302-1286