Damon M Jordan PA-C

NPI 1033109707 - Physician Assistant - 363AS0400X

NPI Details
NPI 1033109707
Gender Male
Enumeration Date 10/25/2005
Last Updated 01/24/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
49 SPRING ST
SCARBOROUGH ME, 04074, US
Phone (207) 885-0011
Fax (207) 885-5851
Business Location
301C US ROUTE ONE
SCARBOROUGH ME, 04074, US
Phone (207) 396-8600
Fax (207) 396-8632
Toxanomy
Taxonomy Code 363AS0400X
License State Maine
License Number PA458
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According to our database, Damon M Jordan PA-C NPI is 1033109707, taxonomy code is 363AS0400X and license number is PA458, license state is located at Maine. Damon M Jordan PA-C physically located at 49 Spring St, Scarborough ME, 04074. NPI Number Damon M Jordan PA-C has the Individual type.

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1033109707 NPI number is provided on an as is basis without warranty of any kind. 1033109707 is maintained by the National Plan & Provider Enumeration System. The contents of Damon M Jordan PA-C are for informational purposes only.