Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Arling Tysdal, PA-C

Individual provider Physician Assistant · NPI 1770117384

Jordan Arling Tysdal, PA-C is a Physician Assistant in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2020.

Licensed in
CO
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3141 Centennial Blvd
Colorado Springs, CO 80907-4094
Phone: (719) 327-5660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006109 (CO)

Record details

NPI number1770117384
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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