Individual
DR. JORDAN MICHAEL NETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
960 S MOUNT OLIVE ST STE A, SILOAM SPRINGS, AR 72761-4204
(479) 524-5161
(479) 524-8046
Mailing address
PO BOX 188, SILOAM SPRINGS, AR 72761-0188
(479) 427-0398
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2717
AR
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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