JERRY BAINS

PHOENIX, AZ
NPI1467517672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0401X Family Medicine, Addiction Medicine
(Licence: AZ  5639)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
Dr. JERRY BAINS MD
3825 N 24TH ST
PHOENIX, AZ 85016-6512
Phone number: 602-248-8886
Mailing Address
Dr. JERRY BAINS MD
3825 N 24TH ST
PHOENIX, AZ 85016-6512
Phone number: 602-248-8886
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