JACK MORDESON, MD
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1164217394
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1164217394 is the National Provider Identifier for JACK MORDESON, MD, a Student in an Organized Health Care Education/Training Program provider located in Peoria, IL. This NPI was enumerated on April 9, 2025.
JACK MORDESON, MD practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.
Quick Facts
- NPI
- 1164217394
- Type
- Individual
- Enumerated
- Apr 9, 2025
- Last Updated
- Apr 18, 2025
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