Individual
DR. JORDAN MACKAY GRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 N 22ND ST STE 120, PHOENIX, AZ 85016-4962
(602) 955-1000
(602) 508-4830
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 955-1000
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
41796
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
41796
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425185
—
AZ
01
—
55970
WELLMARK BCBS
IA
Enumeration date
10/31/2006
Last updated
01/10/2022
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