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Organization
JORGENSON & KOKA LLP
Active
Organization
JORGENSON & KOKA LLP
Active
Other names
ADVANCED URGENT CARE & NIGHLIGHT PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG M JORGENSON MD (MANAGING MEMBER)
(702) 492-7208
Entity
Organization
Contact information
Practice address
9975 S EASTERN AVE, SUITE 110, LAS VEGAS, NV 89183-7949
(702) 361-2273
(702) 616-0657
Mailing address
PO BOX 530010, HENDERSON, NV 89053-0010
(702) 492-7208
(702) 616-0657
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1915
NV
207Q00000X
Family Medicine Physician
1001
NV
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
1915
NV
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
9529
NV
2083X0100X
Occupational Medicine Physician
1001
NV
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
247100000X
Radiologic Technologist
—
NULL
247100000X
Radiologic Technologist
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508145
—
NV
Enumeration date
07/05/2006
Last updated
10/10/2016
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