E L Jordan Jr Do PC

NPI #1093803660 in Joplin, Missouri

Provider Information

NPI Number: 1093803660
Entity Type: Organization
Organization Name: E L Jordan Jr Do PC
Primary Specialty: Ophthalmology
Enumeration Date: Oct 10, 2006
Last Updated: Jan 10, 2013

Practice Location

Address: 2630 CUNNINGHAM AVE
City: Joplin
State: Missouri
ZIP Code: 64804-1542
Phone: (417) 781-0044

Authorized Official

Name: EARL LAWRENCE JORDAN JR., DO
Title: PRESIDENT
Phone: (417) 781-0044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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