Individual
JORDAN LEIGH TRUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7701 W ASPERA BLVD STE 102, GLENDALE, AZ 85308-7947
(623) 876-3870
Mailing address
7701 W ASPERA BLVD STE 102, GLENDALE, AZ 85308-7947
(623) 876-3870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8737
AZ
Other
Enumeration date
10/26/2021
Last updated
03/25/2024
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