Jordan M Hackworth M.D.

NPI 1629299284 - Anesthesiology - 207L00000X

NPI Details
NPI 1629299284
Gender Male
Enumeration Date 05/01/2007
Last Updated 06/01/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
5036 40TH AVE NE
SEATTLE WA, 98105, US
Phone (206) 355-7137
Fax
Business Location
PO BOX 800710
CHARLOTTESVILLE VA, 22908-0710, US
Phone (206) 355-7137
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Washington
License Number RESIDENT
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According to our database, Dr. Jordan M Hackworth M.D. NPI is 1629299284, taxonomy code is 207L00000X and license number is RESIDENT, license state is located at Washington. Jordan M Hackworth M.D. physically located at 5036 40th Ave Ne, Seattle WA, 98105. NPI Number Jordan M Hackworth M.D. has the Individual type.

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1629299284 NPI number is provided on an as is basis without warranty of any kind. 1629299284 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan M Hackworth M.D. are for informational purposes only.