Individual
DR. JORDAN MICHAEL MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1130 E MISSOURI AVE STE 402, PHOENIX, AZ 85014-2724
(315) 391-7949
Mailing address
4218 STEPPING STONE LN, LIVERPOOL, NY 13090-1826
(315) 391-7949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X01371701
NY
171100000X
Acupuncturist
007444
NY
171100000X
Acupuncturist
Primary
012285
AZ
Other
Enumeration date
02/05/2021
Last updated
12/23/2025
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