Individual
DR. THOMAS W. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
334 MAIN ST, DICKSON CITY, PA 18519-1668
(570) 307-1767
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0116021141
VA
207X00000X
Orthopaedic Surgery Physician
MD451647
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD451647
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508023086
NPI
PA
01
—
MD451647
MEDICAL LICENSE NUMBER
PA
Enumeration date
05/21/2008
Last updated
08/20/2024
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