Provider Demographics
NPI:1710594379
Name:DOIRON, JORDAN AVERY
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:AVERY
Last Name:DOIRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 S VINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5264
Mailing Address - Country:US
Mailing Address - Phone:303-871-3988
Mailing Address - Fax:
Practice Address - Street 1:2199 S UNIV BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4700
Practice Address - Country:US
Practice Address - Phone:303-871-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program