Individual
ROGER WILLIAM JUMP III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6301 UNIVERSITY COMMONS, SUITE 350, SOUTH BEND, IN 46635-1571
(574) 234-4800
(574) 282-1739
Mailing address
6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 46635-1571
(574) 251-2100
(574) 251-2153
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
02004782A
IN
208800000X
Urology Physician
5101019480
MI
Other
Enumeration date
07/13/2011
Last updated
06/02/2016
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