NPI | 1093803660 |
---|---|
Doing Business As | JORDAN EYE CENTER |
Entity Type | Organization |
Authorized Contact | EARL LAWRENCE JORDAN President 417-781-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2006-10-10 |
Last Update Date | 2013-01-10 |