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Individual

DR. TAMERA B JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 W MCDOWELL ROAD, PHOENIX, AZ 85006
(602) 257-8070
(602) 257-8029
Mailing address
301 W MCDOWELL ROAD, PHOENIX, AZ 85003
(602) 257-8070
(602) 257-8029

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34494
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5796874
CIGNA
AZ
01
984155
AHCCCS
AZ
Enumeration date
08/04/2006
Last updated
08/26/2011
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