Individual
JORDAN PELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
711 ENCINO PL NE STE D, ALBUQUERQUE, NM 87102-2650
(505) 224-7400
Mailing address
711 ENCINO PL NE STE D, ALBUQUERQUE, NM 87102-2650
(505) 224-7400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
02/21/2022
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