Individual
LOUIS R JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 GREENWICH RD, SUITE 200, VIRGINIA BEACH, VA 23462-6540
(757) 490-4802
(757) 490-4878
Mailing address
5501 GREENWICH RD, SUITE 200, VIRGINIA BEACH, VA 23462-6540
(757) 490-4802
(757) 490-4878
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101021215
VA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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