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Individual
JORDAN T PRICE
Active
Individual
JORDAN T PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
009468
AZ
207P00000X
Emergency Medicine Physician
5101025317
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101024330
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009468
AZ LICENSE
AZ
01
—
5101025317
LICENSE
MI
Enumeration date
06/27/2018
Last updated
07/16/2025
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