Individual
DR. JORDAN STEPHEN PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3668 S DALLAS ST, 210, AURORA, CO 80014-7439
(720) 231-3967
Mailing address
3668 S DALLAS ST, 210, AURORA, CO 80014-7439
(720) 231-3967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19977
CO
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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