MEDICARE: JORDAN ALGER MD, MS

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
1	208800000X	Urology Physician	2020-02440	NC
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208800000X	Urology Physician	DR.0066599	CO

General Provider Information

NPI Number	:	1851786065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN ALGER MD, MS

Provider Business Mailing Address
First Line	:	3624 S NARCISSUS WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-1236
Country	:	US
Telephone Number	:	410-456-2911
Fax Number	:

Provider Business Practice Location Address
First Line	:	10450 PARK MEADOWS DR STE 202
Second Line	:
City	:	LONE TREE
State	:	CO
Zip	:	80124-5528
Country	:	US
Telephone Number	:	303-733-8848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2015
Last Update Date	:	08/11/2021

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