Individual
DR. JORDAN MICHAEL KOMISAROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 ERWIN ROAD, DURHAM, NC 27710
(919) 684-8111
Mailing address
2301 ERWIN ROAD, DURHAM, NC 27710
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2019-02824
NC
Other
Enumeration date
03/27/2013
Last updated
08/02/2022
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