Individual
JORDAN J GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7727 W DEER VALLEY RD STE 220, PEORIA, AZ 85382-2121
(602) 843-8317
(602) 843-9091
Mailing address
7727 W DEER VALLEY RD STE 220, PEORIA, AZ 85382-2121
(602) 843-8317
(602) 843-8317
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
006890
AZ
2086S0127X
Trauma Surgery Physician
006890
AZ
2086S0129X
Vascular Surgery Physician
006890
AZ
Other
Enumeration date
05/20/2011
Last updated
08/29/2025
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