Provider Demographics
NPI:1821314386
Name:AWERBACH, JORDAN DANIEL (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:DANIEL
Last Name:AWERBACH
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:HEART CENTER, PHOENIX CHILDREN'S HOSPITAL
Mailing Address - Street 2:1919 E THOMAS ROAD
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-933-2105
Mailing Address - Fax:
Practice Address - Street 1:1919 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7710
Practice Address - Country:US
Practice Address - Phone:602-933-3366
Practice Address - Fax:602-933-4264
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ584512080P0202X, 207RA0002X, 207RA0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0002XAllopathic & Osteopathic PhysiciansInternal MedicineAdult Congenital Heart Disease
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology