Individual
DR. TIMOTHY BRUCE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 US HIGHWAY 43, WINFIELD, AL 35594-5056
(205) 487-1133
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00010876
AL
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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