MEDICARE: DR. JORDAN SALMON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	68395	AZ

General Provider Information

NPI Number	:	1518315217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORDAN SALMON M.D.

Provider Business Mailing Address
First Line	:	1670 N KOLB RD STE 146
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-4941
Country	:	US
Telephone Number	:	520-777-1973
Fax Number	:	520-300-7090

Provider Business Practice Location Address
First Line	:	1670 N KOLB RD STE 146
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-4941
Country	:	US
Telephone Number	:	520-777-1973
Fax Number	:	520-300-7090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	01/14/2026

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