MR. Anthony Carroll Jordan, PA-S
NPI #1336548064 in Enumclaw, Washington
Provider Information
- NPI Number
- 1336548064
- Entity Type
- Individual
- Name
- MR. Anthony Carroll Jordan, PA-S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-S
- Enumeration Date
- Aug 19, 2014
- Last Updated
- Sep 23, 2014
Practice Location
- Address
- 1427 JEFFERSON AVE
- Address 2
- SUITE 101
- City
- Enumclaw
- State
- Washington
- ZIP Code
- 98022-3649
- Phone
- (360) 825-4466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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