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Individual

JORDAN ALLEN KATZ

Active
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Individual

JORDAN ALLEN KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4530
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006119
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346478583
MEDICARE UPIN
PA
01
245362A8K
MEDICARE PTAN
PA
Enumeration date
06/25/2009
Last updated
10/07/2024
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