Jordan Davis, MD | |
4102 Pinion Dr, Usaf Academy, CO 80840-2502 | |
(719) 524-2273 | |
Not Available |
Full Name | Jordan Davis |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 4102 Pinion Dr, Usaf Academy, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629515697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 31213 (Nebraska) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 31213 (Nebraska) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Entity Name | Mountain Medical Physician Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20190606001153 |
Mailing Address | Practice Location Address |
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Jordan Davis, MD 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: () - | Jordan Davis, MD 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: (719) 524-2273 |
Robert J Schimmel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5171 | |
Dr. Donald Mark Meduna, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10th Medical Group, 4102 Pinion Drive, Suite 100, Usaf Academy, CO 80840 Phone: 719-333-5171 Fax: 719-333-5091 | |
David A Kephart Jr., D.O. Radiology Medicare: Medicare Enrolled Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5236 | |
Andrew Myungjean Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10th Mdg, 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 410-693-4058 | |
Dr. Craig Steven Labuda, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-524-2273 | |
Dr. Kent Davis Abbott, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4102 Pinion Dr., Usaf Academy, CO 80840 Phone: 719-333-5115 |