Individual
DR. GLENN DAVIS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, MS Z0 NTL, TACOMA, WA 98405-4234
(253) 403-1019
Mailing address
8 33RD AVENUE CT NW, GIG HARBOR, WA 98335-7849
(253) 403-1019
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD00025749
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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