Jordan Mockta, ACSM-EP

NPI 1548901176 · on the registry since 2022

Practice

Address: 1500 E Cedar Ave Ste 52
Flagstaff, AZ 86004
Phone: (928) 773-1245
Fax: (928) 773-9429
Organisation at this address: Andc, Inc
Safeway Inc
Liton Rx, Inc.
Vera Whole Health Inc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 224Y00000X
224Y00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-04-11

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