Provider Demographics
NPI:1851786065
Name:ALGER, JORDAN (MD, MS)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:ALGER
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 S NARCISSUS WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1236
Mailing Address - Country:US
Mailing Address - Phone:410-456-2911
Mailing Address - Fax:
Practice Address - Street 1:10450 PARK MEADOWS DR STE 202
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5528
Practice Address - Country:US
Practice Address - Phone:303-733-8848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-03
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-02440208800000X
390200000X
CODR.0066599208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty