JON P. WAKAMATSU

PHOENIX, AZ
NPI1871609008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WY  5418A)
Enumeration Date2006-08-21
Last Update Date2009-06-15
Business Address
JON P. WAKAMATSU M.D.
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-747-4577
Mailing Address
JON P. WAKAMATSU M.D.
625 ALBANY AVE
TORRINGTON, WY 82240-1530
Phone number: 307-532-2017