Individual
JORDAN BREISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1432 S DOBSON RD STE 106, MESA, AZ 85202-4769
(480) 969-3637
(480) 969-6568
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 281-2838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10705
AZ
Other
Enumeration date
09/07/2021
Last updated
12/18/2024
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