Individual
DR. ELIJAH JORDAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7125 EAST JUAN SANCHEZ BLVD, ASPC- YUMA HEALTH SERVICES, SAN LUIS, AZ 85349
(928) 627-8871
Mailing address
7125 EAST JUAN SANCHEZ BLVD, ASPC- YUMA HEALTH SERVICES, SAN LUIS, AZ 85349
(928) 627-8871
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
47197
AZ
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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