| Jordan Mccann, | |
|
14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | |
| (866) 839-6979 | |
| Not Available |
| Full Name | Jordan Mccann |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 14050 N 83rd Ave Ste 290, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760166433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-30697 (Arizona) | Primary |
| Provider Name | Midwestern University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932206414 PECOS PAC ID: 6305734773 Enrollment ID: O20040308000663 |
| Provider Name | Arizona Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629698147 PECOS PAC ID: 8325469661 Enrollment ID: O20200522000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Mccann, 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 Ph: () - | Jordan Mccann, 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 Ph: (866) 839-6979 |
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