Doctor Name: | JEFFREY S IZENBERG |
NPI Number: | 1285670984 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 2942 |
Business Practice Address: | 5171 Cub Lake Rd Suite B210 Show Low, AZ - 859017888 |
Business Phone Number: | 9285379844 |
Business Fax Number: | 9285374437 |
Mailing Address: | 5171 Cub Lake Rd, Suite B210 SHOW LOW |
State: | AZ |
Postal Code: | 859017888 |
Phone Number: | 9285379844 |
Fax Number: | 9285374437 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 09/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 2942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |