Individual
ALLISON ELIZABETH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 996-4545
Mailing address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 996-4545
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2016030234
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD447859
PA
Other
Enumeration date
06/19/2008
Last updated
03/12/2021
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