Individual
DR. JAN STEVEN JURNECKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 SOQUEL DR STE 3, SANTA CRUZ, CA 95065-1716
(831) 462-9810
Mailing address
1505 SOQUEL DR STE 3, SANTA CRUZ, CA 95065-1716
(831) 462-9810
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G52392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G523920
—
CA
Enumeration date
04/10/2007
Last updated
07/08/2007
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