Whalio Doctors

NPI 1750463469

Earl Lawrence Jordan, DO

Practitioner Ophthalmology Physician Joplin, MO

Practice location

Address
2630 Cunningham Ave, Joplin, MO 64804-1542
Phone
(417) 781-0044
Fax
(417) 781-6331

Registered specialties (2)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence R7D82 (MO)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 0521009 (KS)

Registry record

NPI
1750463469
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Oct 2006
Record last updated
23 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.