| Doctor Name: | DAMON M JORDAN |
| NPI Number: | 1033109707 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA458 |
| Business Practice Address: | 49 Spring St Scarborough, ME - 04074 |
| Business Phone Number: | 2078850011 |
| Business Fax Number: | 2078855851 |
| Mailing Address: | 301c Us Route One, SCARBOROUGH |
| State: | ME |
| Postal Code: | 04074 |
| Phone Number: | 2073968600 |
| Fax Number: | 2073968632 |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |