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Individual

JORDAN M BURNHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
307857
LA
207WX0107X
Retina Specialist (Ophthalmology) Physician
307857
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
307857
LA MEDICAL LICENSE
LA
Enumeration date
06/29/2012
Last updated
05/18/2022
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