MARSHALL C JORDAN

ESPANOLA, NM
NPI1982656880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NM  MD2006-0824)
Enumeration Date2006-05-17
Last Update Date2008-08-14
Business Address
MARSHALL C JORDAN MD
ESPANOLA MULTI-SPECIALTY CLINIC 1010 SPRUCE ST
ESPANOLA, NM 87532
Phone number: 505-367-0340
Mailing Address
MARSHALL C JORDAN MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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