Individual
WILLIAM JORDAN FLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
DO
Contact information
Practice address
655 N ALVERNON WAY STE 228, TUCSON, AZ 85711-1853
(520) 724-7770
(520) 694-1640
Mailing address
655 N ALVERNON WAY STE 228, TUCSON, AZ 85711-1853
(520) 694-1640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4682
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/21/2025
Last updated
07/22/2025
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