JORDAN KENNETH SUSAC

OKLAHOMA CITY, OK
NPI1619668514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  41388)
Enumeration Date2023-05-19
Last Update Date2023-05-19
Business Address
Dr. JORDAN KENNETH SUSAC MD
900 NE 10TH ST # 2102
OKLAHOMA CITY, OK 73104-5495
Phone number: 405-271-2230
Mailing Address
Dr. JORDAN KENNETH SUSAC MD
900 NE 10TH ST # 2102
OKLAHOMA CITY, OK 73104-5420
Phone number: 405-271-2230