Jordan C Page DO

NPI 1053459800 - Radiology - 2085R0202X

NPI Details
NPI 1053459800
Gender Male
Enumeration Date 02/02/2007
Last Updated 05/09/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
SPRINGFIELD MO, 65804-2203, US
Phone (417) 820-9729
Fax (417) 820-6471
Business Location
PO BOX 2580
SPRINGFIELD MO, 65801-2580, US
Phone (417) 829-4620
Taxonomy Code 2085R0202X
License State Missouri
License Number 115372
Remove 1053459800 NPI Number

According to our database, Dr. Jordan C Page DO NPI is 1053459800, taxonomy code is 2085R0202X and license number is 115372, license state is located at Missouri. Jordan C Page DO physically located at 1235 E Cherokee St, Springfield MO, 65804-2203. NPI Number Jordan C Page DO has the Individual type.

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1053459800 NPI number is provided on an as is basis without warranty of any kind. 1053459800 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan C Page DO are for informational purposes only.