Provider Demographics
NPI:1003895707
Name:SAZDOFF, JESSICA IRENE (PAC)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:IRENE
Last Name:SAZDOFF
Suffix:
Gender:F
Credentials:PAC
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Other - Credentials:
Mailing Address - Street 1:9700 N 91ST ST
Mailing Address - Street 2:SUITE C-200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5054
Mailing Address - Country:US
Mailing Address - Phone:480-425-5063
Mailing Address - Fax:480-425-5010
Practice Address - Street 1:9700 N 91ST ST
Practice Address - Street 2:SUITE C-200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5054
Practice Address - Country:US
Practice Address - Phone:480-425-5063
Practice Address - Fax:480-425-5010
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2012-06-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ898512Medicaid
AZ898512Medicaid