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Individual
ZACHARY R. JERGENSEN
Active
Individual
ZACHARY R. JERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12751738-1205
UT
207L00000X
Anesthesiology Physician
2018020285
MO
207L00000X
Anesthesiology Physician
2020029411
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
12751738-1205
UT
Other
Enumeration date
06/21/2018
Last updated
08/12/2022
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