Graff, Jordan Mackay

Graff, Jordan Mackay is an individual health care provider with primary practice located at 4800 N 22Nd St Ste 120 , Phoenix AZ 85016-4962. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Graff, Jordan Mackay can be contacted via phone (602) 955-1000.

Contact Information

Primary practice address
4800 N 22Nd St Ste 120 Phoenix AZ 85016-4962
Phone: (602) 955-1000
Fax: (602) 508-4830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 41796 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 41796 Arizona

Profile Details

NPI number 1952487829
LBN Legal business name Graff, Jordan Mackay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jan 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952487829 NPPES
Arizona MEDICAID 425185
Arizona Other 55970

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