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Individual

JORDAN T PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1501 N WILLIAMSON AVE, WINSLOW, AZ 86047-2735
(928) 537-6526
Mailing address
1501 N WILLIAMSON AVE, WINSLOW, AZ 86047-2735

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
009468
AZ
207P00000X
Emergency Medicine Physician
5101025317
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101024330
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009468
AZ LICENSE
AZ
01
5101025317
LICENSE
MI
Enumeration date
06/27/2018
Last updated
07/16/2025
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