JORDAN BLYTHE

WEST FORK, AR
NPI1548972409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-12-21
Last Update Date2025-04-10
Business Address
JORDAN BLYTHE PA-C
451 PHILLIPS ST
WEST FORK, AR 72774-2813
Phone number: 479-294-6085
Mailing Address
JORDAN BLYTHE PA-C
4196 HIGHWAY 62 412 STE A
HARDY, AR 72542-8002
Phone number: