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Individual
DENNIS GREGG JURS
Active
Individual
DENNIS GREGG JURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17293
STATE MEDICAL LICENSE
SC
05
—
172930
—
SC
01
—
B092663365
MEDICARE PIN
SC
01
—
SCB0575019
MEDICARE PIN
SC
Enumeration date
01/10/2006
Last updated
01/26/2021
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