Individual
JORDAN SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
65571
AZ
207P00000X
Emergency Medicine Physician
A195314
CA
207P00000X
Emergency Medicine Physician
T2055
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2019
Last updated
06/10/2025
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