Individual
JORDAN SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 HOSPITAL DR, LEWISBURG, PA 17837-9362
(570) 523-3900
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD471223
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
01/22/2026
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