Individual
DANA L. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
425 HUNTON RD, EL DORADO, KS 67042-3015
(316) 305-3379
Mailing address
425 HUNTON RD, EL DORADO, KS 67042-3015
(316) 305-3379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500601
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340580C
—
KS
Enumeration date
05/24/2005
Last updated
05/29/2015
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