Individual
JORDAN ELIZABETH CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2440 N 11TH ST, GRAND JUNCTION, CO 81501-8102
(970) 243-0900
(970) 245-4235
Mailing address
888 ST PEPPIN DR, FRUITA, CO 81521-7410
(307) 349-9577
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0006305
CO
Other
Enumeration date
11/05/2019
Last updated
12/16/2020
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