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Individual

DR. JORDAN HASKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 407-4200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017025862
MO
207R00000X
Internal Medicine Physician
Primary
2017025862
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57646028
BCBS
MO
Enumeration date
04/30/2014
Last updated
08/17/2020
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