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Individual

JORDAN ELIZABETH IRETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(508) 963-1229
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD464752
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103531010
PA
Enumeration date
04/10/2013
Last updated
02/21/2019
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