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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
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1915
NV
207Q00000X
Family Medicine Physician
1001
NV
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
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225700000X
Massage Therapist
247100000X
Radiologic Technologist
363AM0700X
Medical Physician Assistant
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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