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Individual
JONATHAN DREW ALVORD
Active
Individual
JONATHAN DREW ALVORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60907091
WA
363AM0700X
Medical Physician Assistant
5601007189
MI
363AM0700X
Medical Physician Assistant
6121
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100604
—
AZ
05
—
2121615
—
WA
Enumeration date
10/02/2014
Last updated
07/07/2025
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