Individual
JOSEPH JORDAN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
(704) 926-1832
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 926-1832
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
007692
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
2023-02837
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2013
Last updated
10/30/2023
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