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Individual
DR. JOSEPH DEDRICK JORDAN
Active
Individual
DR. JOSEPH DEDRICK JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
74570
AZ
2084N0400X
Neurology Physician
74570
AZ
2084V0102X
Vascular Neurology Physician
74570
AZ
Other
Enumeration date
01/17/2007
Last updated
11/10/2025
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