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Organization

JORDAN S POPPER MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN POPPER MD (PRESIDENT)
(808) 545-3660
Entity
Organization

Contact information

Practice address
98-1079 MOANALUA RD STE 410, AIEA, HI 96701-4715
(808) 532-2277
(808) 532-2269
Mailing address
PO BOX 37925, HONOLULU, HI 96837-0925

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1446
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000BBNDO
MEDICARE
05
02789501
HI
01
1647
ALOHA CARE
HI
01
3120-3
HMSA
Enumeration date
04/09/2011
Last updated
04/09/2011
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