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NPI Verification

National Provider Identifier: 1164092185

Dakota Jordan, PA-C

Individual Provider

Credentials

PA-C

Primary Specialty

Physician Assistant

Code: 363A00000X

All Specialties (2)

Urology

Code: 208800000X

Physician Assistant

Code: 363A00000X

Primary

Practice Address

175 S UNION BLVD STE 315

COLORADO SPRINGS, CO 809103126

Phone: 719-365-3700

NPI Enumeration Date

June 30, 2021

NPI Number

1164092185

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry