Individual provider · Type 1 NPI
Jordan Richard Stewart, D.P.M
Foot & Ankle Surgery Podiatrist · Timonium, MD
NPI number
1689624033
Active
Practice location
9622 Deereco Rd
Timonium, MD 21093-2120
Fax (443) 901-1131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 01433 (MD) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1689624033
Jordan Richard Stewart, D.P.M's National Provider Identifier is 1689624033, issued on May 10, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Timonium, MD. The record was last updated on Jun 23, 2008.