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Individual

JOURDAN MARY FRANKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT216154
PA
207RR0500X
Rheumatology Physician
Primary
A188359
CA
207RR0500X
Rheumatology Physician
R78593
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R78593
ARIZONA STATE
AZ
Enumeration date
06/07/2018
Last updated
08/04/2023
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