Individual
DR. JORDAN MICHAEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6607 CLAYTON RD APT 2W, SAINT LOUIS, MO 63117-1640
(314) 991-8200
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 569-1787
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01082252A
IN
2085R0202X
Diagnostic Radiology Physician
036149307
IL
2085R0202X
Diagnostic Radiology Physician
0446268
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2016010901
MO
Other
Enumeration date
06/02/2011
Last updated
09/29/2022
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