Individual
KARI JERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7400 E OSBORN RD, SCOTTSDALE, AZ 85251-6432
(480) 882-5730
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-6432
(530) 626-2618
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036137808
IL
208600000X
Surgery Physician
46317
AZ
208600000X
Surgery Physician
Primary
C166068
CA
2086S0102X
Surgical Critical Care Physician
46317
AZ
2086S0127X
Trauma Surgery Physician
46317
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z91719
MEDICARE PTAN
AZ
Enumeration date
04/25/2007
Last updated
08/12/2021
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