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Individual

DR. JORDAN MERRILL REIDHEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
750 W DIMOND BLVD, SUITE 121, ANCHORAGE, AK 99515-1501
(907) 344-0033
Mailing address
750 W DIMOND BLVD, SUITE 121, ANCHORAGE, AK 99515-1501
(907) 344-0033

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
582
AK
111N00000X
Chiropractor
Primary
8310
AZ

Other

Enumeration date
06/26/2013
Last updated
10/29/2013
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