Individual
ROBERT Y. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CTRS
Contact information
Practice address
66 CCLAREMONT AVE L.L., KALISPELL, MT 59901
(406) 751-5994
(406) 751-5981
Mailing address
P.O. BOX 1897, WHITEFISH, MT 59937
(406) 387-9453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21729
MT
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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