Individual
DR. CHRISTOPHER JORDAN MIEDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(480) 500-2540
(623) 201-7954
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(480) 500-2540
(623) 201-7954
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.064907
IL
207P00000X
Emergency Medicine Physician
Primary
53920
AZ
Other
Enumeration date
07/08/2014
Last updated
05/04/2023
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