Individual
JORDAN MARCUS WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-8805
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-8805
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
273633
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2012
Last updated
06/30/2015
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