Individual
DR. JORDAN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2 S STATE ST, WARREN, PA 16365-4639
(814) 726-1411
Mailing address
2 S STATE ST, WARREN, PA 16365-4639
(814) 726-1411
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC006612
PA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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