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Individual

DR. BRYAN J JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 MOBILE INFIRMARY CIRCLE, MOBILE, AL 36607-3513
(251) 435-2400
(252) 931-7694
Mailing address
PO BOX 9369, MOBILE, AL 36691-0369
(251) 460-0326
(251) 460-2846

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2016-00201
NC
2085R0202X
Diagnostic Radiology Physician
Primary
31372
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477873495
BCBSNC
NC
05
1477873495
NC
Enumeration date
06/02/2010
Last updated
02/15/2021
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