Individual
CARLTON MCDONALD-JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE PARK DR, SAINT LOUIS, MO 63141-8660
(573) 300-8828
Mailing address
1008 S 9TH ST, POPLAR BLUFF, MO 63901-6256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
05/29/2024
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