Individual
MARK JOSEPH JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 N SCOTTSDALE RD, STE 130, SCOTTSDALE, AZ 85251-5648
(480) 425-5000
(480) 945-6548
Mailing address
PO BOX 3114, SCOTTSDALE, AZ 85271-3114
(480) 425-5063
(480) 425-5010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25339
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25339
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389644
—
AZ
Enumeration date
10/21/2005
Last updated
09/17/2021
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