Individual
NINA G JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2380 N 400 E, STE C, NORTH LOGAN, UT 84341-1749
(435) 753-7337
(435) 750-6779
Mailing address
2380 N 400 E, STE C, NORTH LOGAN, UT 84341-1749
(435) 753-7337
(435) 750-6779
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
277163-1205
UT
Other
Enumeration date
04/26/2006
Last updated
08/09/2007
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