Individual
DR. JORDAN MICHAEL BOURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 S COUNTRY CLUB RD STE 130, TUCSON, AZ 85714-2203
(520) 724-7770
Mailing address
3950 S COUNTRY CLUB RD STE 130, TUCSON, AZ 85714-2203
(520) 724-7770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R80998
AZ
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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