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Individual
DR. JORDEN TYLER KOMM
Active
Individual
DR. JORDEN TYLER KOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
293617
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
293617
NY
207RS0010X
Sports Medicine (Internal Medicine) Physician
2019024776
MO
207RS0010X
Sports Medicine (Internal Medicine) Physician
293617
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
03/17/2022
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