Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE M OLMEDO, MD
Active Sole ProprietorDermatology · SURPRISE, AZ
Registration Details
- NPI Number
- 1265490429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2006 (19.969456867877 yrs)
- Last Updated
- Apr 9, 2014
- License
-
30536 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14800 W MOUNTAIN VIEW BLVDSUITE 160SURPRISE, AZ, 853742700Browse AZ providers · Browse ZIP 85374
- Phone
- 6235843376
- Fax
- 6235843375
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| GARY LEE WADDINGTON | MD | 1033103643 |
| JEFFREY MORTON GRANT | MD | 1578557187 |
| DR. DREW AUBREY REESE | D.O. | 1750394227 |
| DR. SUSAN IL IORIO | MD | 1538238373 |
| DR. JAY G MEHTA | DO | 1255572863 |
| DR. TYLER A MOSS | D.O. | 1285955039 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.