Jerald P Underdahl, MD - Ophthalmology in Phoenix, AZ

Jerald P Underdahl, MD is a Ophthalmology physician based in Phoenix, Arizona. Jerald P Underdahl is licensed to practice in Arizona (license number 28541) and his current practice location is 1331 N 7th St, 100, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 222-2234.

NPI number for Jerald P Underdahl is 1043284581 and his current mailing address is Po Box 97876, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043284581.

Contact Information

Jerald P Underdahl, MD
1331 N 7th St, 100,
Phoenix, AZ 85006-2754
(602) 222-2234
(866) 985-7247



Physician's Profile

Full NameJerald P Underdahl
GenderMale
SpecialityOphthalmology
Location1331 N 7th St, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043284581
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 06/28/2016

Medical Identifiers

Medical identifiers for Jerald P Underdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043284581NPI-NPPES
524513MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 28541 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerald P Underdahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerald P Underdahl, MD
Po Box 97876,
Phoenix, AZ 85060-7876

Ph: (602) 222-2234
Jerald P Underdahl, MD
1331 N 7th St, 100,
Phoenix, AZ 85006-2754

Ph: (602) 222-2234

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› Verified 4 days ago


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