NPI 1255674362

Laura Anne Jordan

Practitioner Family Medicine Physician Whiteriver, AZ

Practice location

Address: 200 W Hospital Dr, Whiteriver, AZ 85941
Phone: (928) 338-4911
Mailing address: PO Box 860, Whiteriver, AZ 85941-0860

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence A139929 (CA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1255674362
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2013
Record last updated: 3 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.