ELIJAH JORDAN, JR. M.D. – NPI #1932546108
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
ELIJAH JORDAN, JR. is a physician located in SAN LUIS, AZ. NPPES has assigned the NPI number 1932546108 to ELIJAH JORDAN, JR. on May 29, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
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NPI Profile for
ELIJAH JORDAN, JR.
(more than 13 years ago)
ASPC- YUMA HEALTH SERVICES
SAN LUIS, AZ 85349 Phone: (928) 627-8871 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
AZ | 47197 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.