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Dr. Elijah Jordan JR., MD
General Practice Physician in San Luis, Arizona
NPI 1932546108

Elijah Jordan JR. is a General Practice Physician based in San Luis, AZ. Elijah Jordan JR. practices in San Luis, AZ and has the professional credentials of MD. The NPI Number for Elijah Jordan JR. is 1932546108 and holds a License No. 47197 (Arizona).

The current practice location address for Elijah Jordan JR. is 7125 East Juan Sanchez Blvd, San Luis, AZ and can be reached out via phone at 928-627-8871.

Location: 7125 East Juan Sanchez Blvd, San Luis, AZ, 85349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932546108
Provider Name
Elijah Jordan JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7125 East Juan Sanchez Blvd, San Luis, AZ, 85349
Phone Number
928-627-8871
Fax Number
Provider Enumeration Date
05/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7125 East Juan Sanchez Blvd
City
San Luis
State
Arizona
Zip
85349
Phone Number
928-627-8871
Fax Number
person
Provider Business Mailing Address Details
Address
7125 East Juan Sanchez Blvd
City
San Luis
State
Arizona
Zip
85349
Phone Number
928-627-8871
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
47197 (Arizona)
Definition
Definition to come...
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