Individual
DR. JORDAN LUKE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 BROOKS LN STE 220, JEFFERSON HILLS, PA 15025-3761
(412) 469-1002
(412) 469-8925
Mailing address
1200 BROOKS LN STE 220, JEFFERSON HILLS, PA 15025-3761
(412) 469-1002
(412) 469-8925
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD471240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103807585
—
PA
01
—
14948646
CAQH
—
Enumeration date
04/07/2015
Last updated
09/04/2021
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