Individual
LAUREL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2020 ARLINGTON, SUITE 2, ADA, OK 74820-2822
(580) 436-9037
(580) 436-9028
Mailing address
530 N MONTE VISTA ST, SUITE A, ADA, OK 74820-4675
(580) 436-7101
(580) 436-4447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34008645
OH
Other
Enumeration date
09/23/2006
Last updated
10/29/2014
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