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Organization
DR RYAN JORGENSON DPM LLC
Active
Organization
DR RYAN JORGENSON DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JAMES JORGENSON DPM (PODIATRIST)
(317) 839-0959
Entity
Organization
Contact information
Practice address
5689 YORKTOWN TRCE, PLAINFIELD, IN 46168-7428
(317) 839-0959
Mailing address
5689 YORKTOWN TRCE, PLAINFIELD, IN 46168-7428
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001010A
IN
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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