Jordan Kristopher Romick, DO Valid NPI

Individual provider · Family Medicine Physician · O Fallon, IL

NPI

1093219404

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036162019 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2018-03-20

Last updated

2024-12-16