Provider Demographics
NPI:1841225869
Name:PAGE, JON PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:PAUL
Last Name:PAGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:63 S ROCKFORD DR STE 220
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85288-6226
Mailing Address - Country:US
Mailing Address - Phone:831-771-3900
Mailing Address - Fax:831-424-7835
Practice Address - Street 1:622 ABBOTT ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4315
Practice Address - Country:US
Practice Address - Phone:831-771-3900
Practice Address - Fax:831-424-7835
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-05-17
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Provider Licenses
StateLicense IDTaxonomies
CAA96171207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A961710OtherPPIN #
CA00A961710OtherPPIN #
CAI56930Medicare UPIN