Individual
JORDAN F FLEISHHACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR, BLDG 7505, ROOM 163, FORT CARSON, CO 80913-4604
(719) 524-7355
Mailing address
1650 COCHRANE CIR, BLDG 7505, ROOM 163, FORT CARSON, CO 80913-4604
(719) 524-7355
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
192315-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89905369
—
NM
05
—
942088
—
AZ
Enumeration date
07/08/2006
Last updated
05/13/2014
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