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DR. JAMES L. JORDAN MD

Physicians Preventive Medicine Occupational Medicine

Provider NPI: 1821179029

Provider Information:
DR. JAMES L. JORDAN MD
Gender: M
Not Sole Proprietor

Practice Location:
331 HOSPITAL DR SUITE D LEBANON, MO 65536-9217 US
Tel: 417-532-3495  Fax: 417-532-3598

Business Mailing Address:
PO BOX 505164  SAINT LOUIS, MO 63150-5164 US
Tel: 417-829-4620  Fax: 417-829-4316

NPI Information:
NPI: 1821179029
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2083X0100XPhysicians
Preventive Medicine
Occupational Medicine
MO2000160358

Other Provider Identifiers:

IssuerNumberStateType
205006406MO05



American Medical Association 2012 taxonomy code information

Code: 2083X0100X

Type:

Classification:



Definition:



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