NPI 1124772975

Jada Therapy PLLC

Organisation Addiction Medicine (Preventive Medicine) Physician Flagstaff, AZ

Practice location

Address: 2724 E Lakin Dr STE 7, Flagstaff, AZ 86004-3900
Phone: (928) 440-4786

Authorised official

Name: Albaro J Rodriguez
Title: Program Director
Phone: (928) 440-4786

Registered specialties

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X

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Registry record

NPI: 1124772975
Entity type: Organization
NPI issued: 10 Feb 2022
Record last updated: 10 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.