Individual
DR. JONATHAN NOAH JORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10394586-1205
UT
207P00000X
Emergency Medicine Physician
Primary
MD2023-1463
NM
390200000X
Student in an Organized Health Care Education/Training Program
MD2023-1463
NM
Other
Enumeration date
03/22/2016
Last updated
05/19/2026
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