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1124472410
JORDAN MATTHEW WALTERS
LITTLE ROCK, AR
NPI
1124472410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: AR E-14425)
Enumeration Date
2016-04-22
Last Update Date
2021-08-05
Business Address
JORDAN MATTHEW WALTERS
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204-8041
Phone number: 501-526-0835
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Mailing Address
JORDAN MATTHEW WALTERS
PO BOX 251420
LITTLE ROCK, AR 72225-1420
Phone number: 501-686-8000
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