Individual
MR. JORDAN ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5000
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1635710
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023341
OH
Other
Enumeration date
05/05/2018
Last updated
07/11/2019
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