Individual
JORDAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 E MONUMENT ST STE 6100, BALTIMORE, MD 21287-0020
(208) 716-2096
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D90811
MD
207P00000X
Emergency Medicine Physician
Primary
MD214950
OR
Other
Enumeration date
03/23/2018
Last updated
08/16/2023
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