Individual
SAMUEL DOUGLAS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
3880 CONNECTICUT ST UNIT A, SAINT LOUIS, MO 63116-4839
(314) 363-8997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025023828
MO
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
02/07/2021
Last updated
06/19/2025
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