Individual
JORDAN C KOPCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C. NMD
Contact information
Practice address
2164 E BROADWAY RD, TEMPE, AZ 85282-1766
(480) 970-0000
(480) 970-0003
Mailing address
2164 E BROADWAY RD, TEMPE, AZ 85282-1766
(480) 970-0000
(480) 970-0003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8095
AZ
175F00000X
Naturopath
Primary
13-1355
AZ
Other
Enumeration date
01/23/2010
Last updated
04/22/2013
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