Provider Demographics
NPI:1417102633
Name:CHASE, JORDAN ANDREW (MD,)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:ANDREW
Last Name:CHASE
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Gender:M
Credentials:MD,
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Mailing Address - Street 1:995 POTRERO AVE # WARD83
Mailing Address - Street 2:SFGH DEPT OF FAMILY AND COMMUNITY MEDICINE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-206-5252
Mailing Address - Fax:415-206-8387
Practice Address - Street 1:995 POTRERO AVE # WARD83
Practice Address - Street 2:SFGH DEPT OF FAMILY AND COMMUNITY MEDICINE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-206-5252
Practice Address - Fax:415-206-8387
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
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Provider Licenses
StateLicense IDTaxonomies
CAA106092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine