Jeffrey C Proudfoot
D.O. | Pediatric Emergency Medicine | Male
Jeffrey C Proudfoot, D.O. is a Phoenix, Arizona based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Jeffrey C Proudfoot is
1919 E Thomas Rd, Phoenix, Arizona - 85016-7710. He can be contacted on phone at
602-546-1000.
Jeffrey C Proudfoot is a sole proprietor of his business.
NPI number (Unique professional ID) for Jeffrey C Proudfoot is
1043271463 which was assigned by NPPES on 28 Mar, 2006 and it was last updated on 08 Jul, 2007.
Jeffrey C Proudfoot license number is
2668 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Arizona.
Jeffrey C Proudfoot has special qualifications to manage emergencies in infants and children.
Complete Profile:
Jeffrey C Proudfoot basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
|---|
| Provider Name : | Jeffrey C Proudfoot |
|---|
| Credential : | D.O. |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Jeffrey C Proudfoot address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1919 E Thomas Rd
Phoenix, AZ, 85016-7710
United States |
|---|
| Phone Number : | 602-546-1000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043271463 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 28 Mar, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey C Proudfoot are as mentioned. Primary taxonomy code for Jeffrey C Proudfoot, D.O. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 2668 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Jeffrey C Proudfoot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 177255 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1919 E Thomas Rd, Bldg. C Managed Care
Phoenix, AZ, 85016-7710
United States |
|---|
| Phone Number : | 602-546-0486 |
|---|
| Fax Number : | 602-546-1631 |
|---|
Business Location:
Patients can refer following map for directions to
Jeffrey C Proudfoot practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.