Individual
JOHN WALTER JORDAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6101
(844) 458-2100
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6101
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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