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Individual

JORDAN ANTHONY MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2354 N SANDPLUM ST, WICHITA, KS 67205-1094
(316) 761-1415
Mailing address
2354 N SANDPLUM ST, WICHITA, KS 67205-1094
(316) 761-1415

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-50962
KS
208000000X
Pediatrics Physician
04-50962
KS

Other

Enumeration date
06/25/2020
Last updated
05/01/2025
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