Individual
DAVID W JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK DR, HELENA, MT 59601-8022
(406) 443-3457
(406) 443-7201
Mailing address
1 MEDICAL PARK DR, HELENA, MT 59601-8022
(406) 443-3457
(406) 443-7201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4325
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000012340
BLUE CROSS BLUE SHIELD
MT
05
—
055094
—
MT
01
—
9989778
MEDICAID PASSPORT
MT
01
—
P00089863
PALMETTO GBA
—
Enumeration date
10/21/2005
Last updated
07/21/2009
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