Organization
JJO ANESTHESIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN T JORDAN M.D. (SOLE OWNER)
(480) 507-2961
Entity
Organization
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961
(480) 507-2971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41545
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625095
—
AZ
01
—
DS5506
MEDICARE RR
AZ
Enumeration date
07/11/2011
Last updated
03/07/2023
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