Individual
JORDAN D VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4566 E INVERNESS AVE STE 208, MESA, AZ 85206-4634
(480) 993-1300
(480) 212-1027
Mailing address
946 E DENTON LN, PHOENIX, AZ 85014-2674
(602) 723-5111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7958
AZ
Other
Enumeration date
01/14/2020
Last updated
08/31/2020
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