DR. Elijah Jordan JR., M.D.

NPI #1932546108 in San Luis, Arizona

Provider Information

NPI Number: 1932546108
Entity Type: Individual
Name: DR. Elijah Jordan JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: May 29, 2013
Last Updated: May 29, 2013

Practice Location

Address: 7125 EAST JUAN SANCHEZ BLVD
Address 2: ASPC- YUMA HEALTH SERVICES
City: San Luis
State: Arizona
ZIP Code: 85349
Phone: (928) 627-8871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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