Individual provider · Type 1 NPI
Jordan Michael Brown, MD
Diagnostic Radiology Physician · St. Louis, MO
NPI number
1891089223
Active
Practice location
6607 Clayton Rd Apt 2W
St. Louis, MO 63117-1640
Mailing address
11475 Olde Cabin Rd Ste 200
St. Louis, MO 63141-7129
Other practice locations
- 100 Mercy Way, Joplin, MO 64804-4524 · (417) 556-4762
- 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 · (417) 359-1320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0446268 (KS) |
| Diagnostic Radiology Physician | 2085R0202X | 036149307 (IL) |
| Diagnostic Radiology Physician | 2085R0202X | 01082252A (IN) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 2016010901 (MO) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1891089223
Jordan Michael Brown, MD's National Provider Identifier is 1891089223, issued on Jun 2, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Sep 29, 2022.