Individual
DR. TIMERI JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 552-9400
Mailing address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R82115
AZ
Other
Enumeration date
05/02/2025
Last updated
07/08/2025
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