Samantha M Jordan in Colorado Springs - Dermatology

Samantha M Jordan - NPI 1982702239

Samantha M Jordan is a Dermatology in Colorado Springs, Colorado. Samantha M Jordan practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Samantha M Jordan is 1982702239. The last update date is 2014-11-24.

Samantha M Jordan's current location address is 8580 Scarborough Dr, Colorado Springs, Colorado. You can contact this provider via phone number 7195315400 and fax number 7195319545. The mailing address for Samantha M Jordan is 8580 Scarborough Dr, Colorado Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Samantha M Jordan
Address 8580 Scarborough Dr, Colorado Springs, Colorado
Phone Number 7195315400
Fax Number 7195319545
Sole Proprietor N
Credentials P.A-C, MMS

NPI Number Detail

NPI Number 1982702239
Provider Enumeration Date 2006-09-20
Last Updated Date 2014-11-24

Provider Mailing Address Detail

Address 8580 Scarborough Dr
City Colorado Springs
State Colorado (CO)
Post Code 809207583
Phone Number 7195315400
Fax Number 7195319545

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 2544
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2544 AZ STATE LICENSE
2544 AZ STATE LICENSE

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FAQs about Samantha M Jordan

What is the unique 10-digit identification code assigned to Samantha M Jordan by the Centers for Medicare & Medicaid Services?

The Samantha M Jordan has been issued the NPI (National Provider Identifier) 1982702239, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Samantha M Jordan's physical address?

The Samantha M Jordan is physically located at 8580 Scarborough Dr, in the city of Colorado Springs, CO, with the postal code 809207583.

What is Samantha M Jordan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Samantha M Jordan's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.

When did Samantha M Jordan receive its 1982702239 assignment?

The Samantha M Jordan was assigned its 1982702239 on 2006-09-20, which is the date when this unique identifier was issued to the organization.

When was the information regarding Samantha M Jordan most recently updated?

The details pertaining to the Samantha M Jordan, including its address, specialty, and other relevant information, were last refreshed on 2014-11-24.

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