Individual
MR. REED MAURICE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
127 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 23604
(757) 314-7500
Mailing address
301 PARCHMENT BLVD, WILLIAMSBURG, VA 23185-5679
(757) 564-1807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840364
VA
Other
Enumeration date
02/27/2006
Last updated
05/14/2014
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