Glenn Davis Jordan MD

NPI 1043321276 - Pediatrics - 2080N0001X

NPI Details
NPI 1043321276
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
315 MARTIN LUTHER KING JR WAY
MS Z0 NTL
TACOMA WA, 98405-4234, US
Phone (253) 403-1019
Fax
Business Location
8 33RD AVENUE CT NW
GIG HARBOR WA, 98335-7849, US
Phone (253) 403-1019
Fax
Toxanomy
Taxonomy Code 2080N0001X
License State Washington
License Number MD00025749
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According to our database, Dr. Glenn Davis Jordan MD NPI is 1043321276, taxonomy code is 2080N0001X and license number is MD00025749, license state is located at Washington. Glenn Davis Jordan MD physically located at 315 Martin Luther King Jr Way, Tacoma WA, 98405-4234. NPI Number Glenn Davis Jordan MD has the Individual type.

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1043321276 NPI number is provided on an as is basis without warranty of any kind. 1043321276 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn Davis Jordan MD are for informational purposes only.