Jordan Brocker, DPT

NPI 1538508171 · on the registry since 2013

Practice

Address: 15410 S Mountain Pkwy
#112
Phoenix, AZ 85044
Phone: (480) 706-1161
Fax: (480) 706-7409
Organisation at this address: Orthomed Llc
Mlm Family Llc
Foothills Sports Medicine & Rehabilitation, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 225100000X
225100000X
Also registered as: 2251S0007X
2251X0800X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona