NPI 1053703199
John Desjarlais
Practice location
- Address
- 500 N US Highway 89, Prescott, AZ 86313-5001
- Phone
- (925) 445-4860
Registered specialties
Medical Technologist
Primary
Registry record
- NPI
- 1053703199
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Feb 2015
- Record last updated
- 26 Feb 2015
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.