| Jtbl Llc | |
|
3303 E Baseline Rd Gilbert AZ 85234-2738 | |
| (480) 331-1745 | |
| Not Available |
| Full Name | Jtbl Llc |
|---|---|
| Speciality | General Practice |
| Location | 3303 E Baseline Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Trevor Ferguson (OWNER) |
| Authorized Official Contact | 4803311745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jtbl Llc 2487 S Gilbert Rd Ste 106-133 Gilbert AZ 85295-2805 Ph: (480) 331-1745 | Jtbl Llc 3303 E Baseline Rd Gilbert AZ 85234-2738 Ph: (480) 331-1745 |
| NPI Number | 1356905285 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356905285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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