Individual
DR. JARRED JORGE JUSTIN SARGEANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
52793
SC
207RI0011X
Interventional Cardiology Physician
Primary
52793
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/05/2015
Last updated
08/11/2023
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