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Contact Information

JOHN DESJARLAIS
500 N US HIGHWAY 89
PRESCOTT, AZ86313-5001
 Phone: 925-445-4860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Technologist

246QM0706X
Indicates primary specialty

NPI Profile & details for JOHN DESJARLAIS · (Male)

NPI Number 1053703199
Status Active
Credentials
Entity Individual
Enumeration date 02/26/2015
Last updated 02/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
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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