NPI 1194102772

Jonathan L Dameworth, MD

Practitioner Colon & Rectal Surgery Physician Phoenix, AZ

Practice location

Address: 500 W Thomas Rd STE 400, Phoenix, AZ 85013-4238
Phone: (602) 406-3874
Fax: (602) 406-2335
Mailing address: PO Box 33269, Phoenix, AZ 85067-3269

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 64001 (AZ)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1194102772
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2015
Record last updated: 6 Nov 2024

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.