Individual
DR. RANDY A JORDAN
Active
Individual
DR. RANDY A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C-5657
AR
207RI0011X
Interventional Cardiology Physician
Primary
C-5657
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110321001
—
AR
01
—
89-T033
MALP INS
AR
Enumeration date
08/10/2006
Last updated
09/11/2025
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