MR. Jordan Harrison Moss SR.

NPI #1952471625 in Birmingham, Alabama

Provider Information

NPI Number: 1952471625
Entity Type: Individual
Name: MR. Jordan Harrison Moss SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotic Fitter
Enumeration Date: Nov 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 910 INVERNESS CORS
City: Birmingham
State: Alabama
ZIP Code: 35242-3785
Phone: (205) 991-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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