E L Jordan Jr Do Pc

NPI 1093803660

Information of E L Jordan Jr Do Pc

The NPI 1093803660 is an Organization type. NPI No 1093803660 belongs to E L Jordan Jr Do Pc. E L Jordan Jr Do Pc specializes in Ophthalmology. is practising at 2630 Cunningham Ave, Joplin, Missouri 64804. You can also contact him via phone number (417) 781-0044.

Practice address located

  • 2630 Cunningham Ave
  • Joplin, Missouri 64804
  • (417) 781-0044
  • (417) 781-0044

Mailling address located

  • 2630 Cunningham Ave
  • Joplin, Missouri 64804
  • (417) 781-0044
  • (417) 781-6331
E L Jordan Jr Do Pc is PECOS enrolled.
NPI No 1093803660
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes207W00000XOphthalmologyn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
MO000015481Medicare PINn/a
KS059024OtherBLUE CROSS BLUE SHIELD
KS100229750BMedicaidn/a
KS100229750CMedicaidn/a
MO100229750DMedicaidn/a
MO106677OtherBLUE CROSS BLUE SHIELD
KS111284Medicare PINn/a
OK200100060AMedicaidn/a
MO505484402Medicaidn/a
MODG3737OtherRAILROAD MEDICARE
KSDG3767OtherRAILROAD MEDICARE
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