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Individual

JORDAN MARSHALL GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6767 29TH ST FL 3, GREELEY, CO 80634-5474
(970) 652-2801
Mailing address
6767 29TH ST, GREELEY, CO 80634-5474
(970) 652-2801

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1750022927
SC
207Q00000X
Family Medicine Physician
Primary
DR.0075194
CO

Other

Enumeration date
04/04/2022
Last updated
04/30/2026
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