GLENN DAVIS JORDAN

TACOMA, WA
NPI1043321276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: WA  MD00025749)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. GLENN DAVIS JORDAN MD
315 MARTIN LUTHER KING JR WAY MS Z0 NTL
TACOMA, WA 98405-4234
Phone number: 253-403-1019
Mailing Address
Dr. GLENN DAVIS JORDAN MD
8 33RD AVENUE CT NW
GIG HARBOR, WA 98335-7849
Phone number: 253-403-1019
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