| Doctor Name: | JONATHAN DREW ALVORD |
| NPI Number: | 1033512116 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 5601007189 |
| Business Practice Address: | 440 N. Navajo Dr Page, AZ - 860401625 |
| Business Phone Number: | 9286459675 |
| Business Fax Number: | 9286452626 |
| Mailing Address: | Po Box 1625, 440 N. Navajo Dr. PAGE |
| State: | AZ |
| Postal Code: | 86040 |
| Phone Number: | 9286459675 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2014 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601007189 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |