Individual
JORDAN DUTCH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 S COUNTRY CLUB RD STE 200, TUCSON, AZ 85714-2227
(435) 222-1236
Mailing address
3950 S COUNTRY CLUB RD STE 200, TUCSON, AZ 85714-2227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R4032
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2022
Last updated
04/27/2023
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