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Contact Information

JORDAN DEVELOPMENTAL PEDIATRICS PC
21031 N CAVE CREEK RD
STE F4
PHOENIX, AZ85024-5525
 Phone: 602-956-3141
 Fax: 602-795-1671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JORDAN DEVELOPMENTAL PEDIATRICS PC · (Female)

NPI Number 1649229394
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2006
Last updated 04/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 26988
  • AZ Medicaid 508658
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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