Provider / Organization | NPI | Date Certified |
---|---|---|
JORDAN LEIGH ECKERT | 1477059046 | 2024-04-05 |
Jordan Leigh Eckert is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477059046. Registration indicates Jordan Leigh Eckert is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Jordan Leigh Eckert |
Practice Office Address | 3366 NW EXPRESSWAY STE 800 OKLAHOMA CITY, OK US |
Practice Office Telephone | 4057139935 |
Practice Office Fax | 4057139936 |
Mailing Address | 3001 QUAIL SPRINGS PKWY FL 5 OKLAHOMA CITY, OK 731342640 US |
Business Telephone | 4057139935 |
Business Fax | 4057139936 |
Code | Practice | License No State |
---|---|---|
208600000X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | 40709
OK |