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Dr. Wade Thomas Jordan, MD
Nephrology Physician in Springfield, Missouri
NPI 1326135781

Wade Thomas Jordan is a Nephrology Physician based in Springfield, MO and is specialized in Nephrology. Wade Thomas Jordan practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Wade Thomas Jordan is 1326135781 and holds a License No. R4P99 (Missouri).

The current practice location address for Wade Thomas Jordan is 1911 S National Ave, Springfield, MO and can be reached out via phone at 417-886-5000 and via fax at 417-886-1100.

Location: 1911 S National Ave, Springfield, MO, 65804-2219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326135781
Provider Name
Wade Thomas Jordan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1911 S National Ave, Springfield, MO, 65804-2219
Phone Number
417-886-5000
Fax Number
417-886-1100
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122036001 05 AR
390003925 01 RAILROAD MEDICARE
203047915 05 MO
153509 01 HEALTHLINK
25183 01 MO BLUE CROSS BLUE SHIELD
002012599 01 MO MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1911 S National Ave
City
Springfield
State
Missouri
Zip
65804-2219
Phone Number
417-886-5000
Fax Number
417-886-1100
person
Provider Business Mailing Address Details
Address
1911 S National Ave
City
Springfield
State
Missouri
Zip
65804-2219
Phone Number
417-886-5000
Fax Number
417-886-1100
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
R4P99 (Missouri)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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