Organization
DR RYAN JORGENSON DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JAMES JORGENSON DPM (PODIATRIST)
(317) 839-0959
Entity
Organization
Contact information
Practice address
5689 YORKTOWN TRCE, PLAINFIELD, IN 46168-7428
(317) 839-0959
Mailing address
5689 YORKTOWN TRCE, PLAINFIELD, IN 46168-7428
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001010A
IN
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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