PHILIP JORDAN RISTVEDT

SUN CITY, AZ
NPI1720482912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  5878)
Enumeration Date2014-10-16
Last Update Date2014-10-16
Business Address
-- PHILIP JORDAN RISTVEDT PA
10503 W THUNDERBIRD BLVD STE 262
SUN CITY, AZ 85351-3048
Phone number: 623-933-8289
Mailing Address
-- PHILIP JORDAN RISTVEDT PA
10503 W THUNDERBIRD BLVD STE 262
SUN CITY, AZ 85351-3048
Phone number: 623-933-8289
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