Individual
JORDAN JOHN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2020017456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200086121
—
MO
Enumeration date
07/14/2017
Last updated
07/28/2020
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