Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELIJAH JORDAN JR., M.D.
Active Sole ProprietorDR. ELIJAH JORDAN JR., M.D. is a General Practice healthcare provider located in SAN LUIS, Arizona. NPI 1932546108 is currently active in the NPPES registry. Verify at CMS.
General Practice · SAN LUIS, AZ
Registration Details
- NPI Number
- 1932546108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2013 (13.188248413214 yrs)
- Last Updated
- May 29, 2013
- License
-
47197 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7125 EAST JUAN SANCHEZ BLVDASPC- YUMA HEALTH SERVICESSAN LUIS, AZ, 85349Browse AZ providers · Browse ZIP 85349
- Phone
- 9286278871
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in SAN LUIS, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. JOSE M PISCOYA | M.D. | 1285685669 |
| DANIELLE BRIDEN | DO | 1720329253 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.