NPI 1265490429

Jesse M Olmedo, MD

Practitioner Dermatology Physician Surprise, AZ

Practice location

Address: 14800 W Mountain View Blvd Suite 160, Surprise, AZ 85374-2700
Phone: (623) 584-3376
Fax: (623) 584-3375
Mailing address: 14800 W Mountain View Blvd Suite 160, Surprise, AZ 85374-4795

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 30536 (AZ)

Other Dermatology providers in Arizona →

Registry record

NPI: 1265490429
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2006
Record last updated: 9 Apr 2014

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.