JEREMY TODD JORDAN

CHARLESTON, WV
NPI1790729614
Other NameTODD JORDAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  823)
Enumeration Date2006-06-15
Last Update Date2021-08-03
Business Address
Mr. JEREMY TODD JORDAN PA-C, MBA
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1297
Phone number: 304-388-5432
Mailing Address
Mr. JEREMY TODD JORDAN PA-C, MBA
2300 MACCORKLE AVE SE
CHARLESTON, WV 25304-1099
Phone number: 304-357-4790
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