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NPI Code Detail

MEDICARE: DR. JAMIE RYAN JORDAN MD

MEDICARE: DR. JAMIE RYAN JORDAN 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
1207R00000XInternal Medicine Physician224348MA
2207RC0001XClinical Cardiac Electrophysiology Physician53424CO

General Provider Information

NPI Number : 1649261520
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE RYAN JORDAN MD
Provider Business Mailing Address
First Line : 1000 SOUTHPARK DR
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5654
Country : US
Telephone Number : 303-744-1065
Fax Number : 303-733-1699
Provider Business Practice Location Address
First Line : 1000 SOUTHPARK DR
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5654
Country : US
Telephone Number : 303-744-1065
Fax Number : 303-733-1699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 04/04/2014

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Directions to “ DR. JAMIE RYAN JORDAN MD” Practice Location

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