Individual
MR. JORDAN MICHAEL TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5485 WILSON RD, COLORADO SPRINGS, CO 80919-3523
(719) 534-3419
Mailing address
5485 WILSON RD, COLORADO SPRINGS, CO 80919-3523
(719) 534-3419
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
266891
CO
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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