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Contact Information

JASON S COUCH, DO
2510 W DUNLAP AVE STE 290
SUITE # 290
PHOENIX, AZ85021-2759
 Phone: 602-789-0344
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JASON S COUCH · (Male)

NPI Number 1093009672
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/01/2011
Last updated 07/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 006693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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