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JORDAN ARLING TYSDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Mailing address
1804 WALLACE AVE, DULUTH, MN 55803-2513
(218) 343-3046

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006109
CO

Other

Enumeration date
02/24/2020
Last updated
02/24/2020
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