Individual
DR. JORDAN C. MARYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-0480
(812) 522-0195
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-0480
(812) 522-0195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083646A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01083646A
IN
Other
Enumeration date
06/12/2015
Last updated
08/19/2021
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