NPI 1215971601

Michael P Jukich, CCP

Practitioner Perfusionist Tempe, AZ

Practice location

Address: 5801 S McClintock Dr 110, Tempe, AZ 85283-6002
Phone: (480) 777-0900
Fax: (480) 777-1345
Mailing address: PO Box 27588, Tempe, AZ 85285-7588

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X

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Registry record

NPI: 1215971601
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2006
Record last updated: 18 Aug 2009

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.