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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS JENNIFER DANIELLE GAITLEY, M.D.

Active

MISS JENNIFER DANIELLE GAITLEY, M.D. is a Sports Medicine (Pediatrics) healthcare provider located in PHOENIX, Arizona. NPI 1528321569 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Pediatrics) · PHOENIX, AZ

Registration Details

NPI Number
1528321569
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2012 (13.961141759949 yrs)
Last Updated
Dec 10, 2020
Licenses
2017-02087 (NC)
2017-02087 (NC)
60285 (AZ)

Practice Information

Address
1919 E THOMAS RD FL 2
PHOENIX, AZ, 850167710
Browse AZ providers · Browse ZIP 85016
Phone
6029333033
Fax
6029334311
Primary Specialty
Sports Medicine (Pediatrics)
2080S0010X
Additional Specialty
Sports Medicine (Pediatrics)
Additional Specialty
Sports Medicine (Pediatrics)

Other Sports Medicine (Pediatrics) Providers in PHOENIX, AZ

Name Credential NPI
DR. RANDON TRENERE HALL M.D. 1942473749
DR. ERIC S BOWMAN DO 1871755157
DR. BRIAN D KELLY MD 1053637736
KAREN MARIE VAZ MD 1144800368
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.