Organization
CALL'S COMMUNITY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DALE CALL PHARM. D. (OWNER)
(928) 536-4322
Entity
Organization
Contact information
Practice address
815 MAIN STREET SUITE D, TAYLOR, AZ 85939
(928) 536-4322
(928) 536-2395
Mailing address
PO BOX 246, SNOWFLAKE, AZ 85937
(928) 536-4322
(928) 536-2395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
546187
—
AZ
Enumeration date
02/28/2023
Last updated
02/28/2023
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