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Individual
MR. JORDAN ROEDER
Active
Individual
MR. JORDAN ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1635710
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023341
OH
Other
Enumeration date
05/05/2018
Last updated
07/11/2019
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