Individual
ANDREW JUERGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
982 CHAMBERS ST, OGDEN, UT 84403-4571
(801) 479-4105
Mailing address
982 CHAMBERS ST, OGDEN, UT 84403-4571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P8592
TX
207QA0505X
Adult Medicine Physician
163834-1205
UT
Other
Enumeration date
06/01/2006
Last updated
11/18/2016
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