Organization
JODON ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D CORDOVA (OWNER GENERAL PARTNER)
(308) 632-2551
Entity
Organization
Contact information
Practice address
1012 W 36TH ST, SUITE #5, SCOTTSBLUFF, NC 69361-5007
(308) 632-2551
(308) 632-2725
Mailing address
1012 W 36TH ST, SUITE #5, SCOTTSBLUFF, NC 69361-5007
(308) 632-2551
(308) 632-2725
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09009
BCBS
NE
01
—
F952
MIDLANDS CHOICE
NE
Enumeration date
11/29/2006
Last updated
08/22/2020
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