Individual
BRADLEY JAMES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5326 OAK ST, SAINT FRANCISVILLE, LA 70775-4510
(225) 635-5848
(225) 635-9595
Mailing address
PO BOX 487, SAINT FRANCISVILLE, LA 70775-0487
(225) 635-5848
(225) 635-9595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
340609
LA
Other
Enumeration date
04/19/2021
Last updated
09/13/2024
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