Individual
DAKOTA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 S UNION BLVD STE 315, COLORADO SPRINGS, CO 80910-3126
(719) 365-3700
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
PA.0006813
CO
363A00000X
Physician Assistant
Primary
PA.0006813
CO
Other
Enumeration date
06/30/2021
Last updated
07/06/2021
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