JACK CE JI

FLAGSTAFF, AZ
NPI1730358789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: AZ  006341)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CO  DR.0067344)
208M00000X Hospitalist
(Licence: AZ  6341)
Enumeration Date2008-02-25
Last Update Date2022-11-29
Business Address
Dr. JACK CE JI DO
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-214-2920
Mailing Address
Dr. JACK CE JI DO
1200 N BEAVER ST PAYER CREDENTIALING
FLAGSTAFF, AZ 86001-3118
Phone number: 928-773-2559