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Individual
DR. JORDAN TYLER POWNER
Active
Individual
DR. JORDAN TYLER POWNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
06106
CT
207RP1001X
Pulmonary Disease Physician
Primary
63819
CT
Other
Enumeration date
06/26/2012
Last updated
04/01/2021
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