Individual
JORDAN BOHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-3000
Mailing address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(804) 204-0274
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
322179
AZ
Other
Enumeration date
04/20/2022
Last updated
06/26/2025
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