NPI 1003159872

Jenna Wald, MD

Practitioner MOHS-Micrographic Surgery Physician Mesa, AZ

Practice location

Address: 4540 E Baseline Rd STE 109, Mesa, AZ 85206-4616
Phone: (480) 982-3337
Fax: (480) 497-4580

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 58462 (AZ)

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Registry record

NPI: 1003159872
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2013
Record last updated: 20 Jun 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.