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NPI Code Detail

MEDICARE: JORDAN LANE MARKEL MD

MEDICARE: JORDAN LANE MARKEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207L00000XAnesthesiology Physician44433AL

General Provider Information

NPI Number : 1275037426
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN LANE MARKEL MD
Provider Business Mailing Address
First Line : 400 S WOODS MILL RD STE 140
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3427
Country : US
Telephone Number : 314-485-1101
Fax Number :
Provider Business Practice Location Address
First Line : 400 S WOODS MILL RD STE 140
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3427
Country : US
Telephone Number : 314-485-1101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 07/11/2025

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Directions to “ JORDAN LANE MARKEL MD” Practice Location

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