Organization
CHRISTOPHER JORDAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JORDAN MD (PRESIDENT)
(405) 732-7777
Entity
Organization
Contact information
Practice address
1201 S DOUGLAS BLVD, STE H, MIDWEST CITY, OK 73130-5239
(405) 732-7777
(405) 610-7785
Mailing address
1201 S DOUGLAS BLVD, STE H, MIDWEST CITY, OK 73130-5239
(405) 732-7777
(405) 610-7785
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6165
RAILROAD MEDICARE
OK
Enumeration date
03/13/2008
Last updated
04/20/2008
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