Individual
JORDAN DAVID BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
215 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632-1012
(410) 754-9021
(339) 082-2858
Mailing address
215 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632-1012
(410) 754-9021
(339) 082-2858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0089368
MD
Other
Enumeration date
06/13/2017
Last updated
01/20/2021
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