Individual
PHILIP JORDAN RISTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10503 W THUNDERBIRD BLVD, STE 262, SUN CITY, AZ 85351-3048
(623) 933-8289
(623) 933-2596
Mailing address
10503 W THUNDERBIRD BLVD, STE 262, SUN CITY, AZ 85351-3048
(623) 933-8289
(623) 933-2596
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5878
AZ
Other
Enumeration date
10/16/2014
Last updated
10/16/2014
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