Jordan David Alward, PA-C
Physician Assistant, Medical in Madison, WI. Individual provider (NPI-1).
NPI number1366928384
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1366928384
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jordan David Alward
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2018
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5015-23 | WI | Yes |
Practice location
600 Highland AveMadison, WI 53792-4930
Phone 608-263-1530 · Fax 608-265-8887
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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