Individual
DR. JORDAN E GWALTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2520 N 14TH AVE, DODGE CITY, KS 67801-2315
(620) 227-3071
(620) 227-6911
Mailing address
2520 N 14TH AVE, DODGE CITY, KS 67801-2315
(620) 227-3071
(620) 227-6911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1744
KS
Other
Enumeration date
08/22/2006
Last updated
01/20/2009
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