Individual
JORDAN LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8630 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258-3358
(480) 558-3744
(480) 558-3801
Mailing address
8630 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258-3358
(480) 558-3744
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
66685
AZ
Other
Enumeration date
04/03/2016
Last updated
03/07/2023
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