Individual
JORDAN CARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8077 ROSE HILL DR, NEWBURGH, IN 47630-2811
(812) 853-7363
Mailing address
8077 ROSE HILL DR, NEWBURGH, IN 47630-2811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004884A
IN
Other
Enumeration date
06/04/2015
Last updated
06/06/2022
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