Individual
MICHAEL ARTHUR JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3063 DAUPHIN ST, MOBILE, AL 36606-4040
(251) 476-2743
Mailing address
3925 PRIVATE ROAD 304, SEMMES, AL 36575-6043
(251) 649-6848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S795TA318
AL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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