Organization
JORDAN DEVELOPMENTAL PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JORDAN MD (PRESIDENT)
(602) 956-3141
Entity
Organization
Contact information
Practice address
21031 N CAVE CREEK RD, STE F4, PHOENIX, AZ 85024-5525
(602) 956-3141
(602) 795-1671
Mailing address
21031 N CAVE CREEK RD, STE F4, PHOENIX, AZ 85024-5525
(602) 956-3141
(602) 795-1671
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
26988
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508658
—
AZ
Enumeration date
05/09/2006
Last updated
04/18/2008
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