Individual provider · Type 1 NPI

Marc Roux Jordaan, MBCHB

Student in an Organized Health Care Education/Training Program · Lebanon, NH

NPI number 1164696498 Active

Practice location

One Medical Center Dr, Dartmouth Hitchcock Medical Center - Dept. Radiology
Lebanon, NH 03756-1000

Call (603) 650-7480 Map

Mailing address

1 Medical Center Dr, Dartmouth Hitchcock Medical Center - Dept. Radiology
Lebanon, NH 03756-1000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Diagnostic Radiology Physician 2085R0202X15107 (NH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164696498

Marc Roux Jordaan, MBCHB's National Provider Identifier is 1164696498, issued on Apr 17, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, NH. The record was last updated on Mar 12, 2011.