Individual
BARBARA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094
(440) 953-6203
(440) 953-6202
Mailing address
9291 HIDDEN GLEN DR, MENTOR, OH 44060
(440) 974-0557
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34002925J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433570
—
OH
Enumeration date
03/30/2006
Last updated
09/15/2011
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