Individual
DR. JORDAN ASHTON LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
4567 W PINE BLVD APT 627, SAINT LOUIS, MO 63108-2189
(909) 894-8039
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2017013701
MO
Other
Enumeration date
11/03/2014
Last updated
07/21/2022
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