Individual
DR. JORDAN TAYLOR VULCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1801 S. CRISMON ROAD, SUITE 191, MESA, AZ 85209
(480) 621-5891
(480) 704-4019
Mailing address
1801 S. CRISMON ROAD, SUITE 191, MESA, AZ 85209
(480) 621-5891
(480) 704-4019
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
007950
AZ
390200000X
Student in an Organized Health Care Education/Training Program
D01358731
AZ
Other
Enumeration date
03/26/2013
Last updated
07/22/2019
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