Individual
DANIEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 VERANDA ST STE 1, PORTLAND, ME 04103-5544
(207) 828-2402
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 828-2449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27197
ME
Other
Enumeration date
03/23/2020
Last updated
07/26/2023
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