Individual
JORDAN H. PERLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 E WILLETTA ST, PHOENIX, AZ 85006-2727
(602) 239-2647
(602) 239-5295
Mailing address
901 E WILLETTA ST, PHOENIX, AZ 85006-2727
(602) 239-2647
(602) 239-5295
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
20808
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112475
—
AZ
05
—
U3715
—
NM
Enumeration date
03/21/2006
Last updated
01/31/2012
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