Individual
MR. JORDAN THOMAS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9525 E OLD SPANISH TRL STE 101, TUCSON, AZ 85748-6630
(520) 731-3666
Mailing address
9525 E OLD SPANISH TRL STE 101, TUCSON, AZ 85748-6630
(830) 481-3184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2024
Last updated
10/22/2024
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