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Individual

DR. JOEL LELAND JORGENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0054690
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026980
KAISER COMMERCIAL NUMBER
CO
05
45780137
CO
Enumeration date
03/26/2012
Last updated
06/07/2021
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