Dr. Glenn Davis Jordan
Neonatal-Perinatal Doctor
315 Martin Luther King Jr Way Ms Z0 Ntl
Tacoma
, Washington 98405-4234
Dr. Glenn Davis Jordan
Neonatal-Perinatal Doctor
315 Martin Luther King Jr Way Ms Z0 Ntl
Tacoma
, Washington 98405-4234
(253) 403-1019
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Dr. Glenn Davis Jordan
- 8 33rd Avenue Ct Nw
- Gig Harbor, WA
- Zip : 98335-7849
- Phone : (253) 403-1019
Second Address
- Dr. Glenn Davis Jordan
- 315 Martin Luther King Jr Way Ms Z0 Ntl
- Tacoma, WA
- Zip : 98405-4234
- Phone : (253) 403-1019
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | MD00025749 | WA |
National Provider Identifier
| NPI | 1043321276 |
|---|---|
| Provider Name | Dr. Glenn Davis Jordan |
| First Address | Gig Harbor, WA 98335-7849 |
| Second Address | Tacoma, WA 98405-4234 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.