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Individual

GREGORY J JURKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2221 STOCKTON BLVD., CYPRESS TRAUMA SURGERY CLINIC, SUITE E, SACRAMENTO, CA 95817-1418
(916) 734-3510
(916) 734-7089
Mailing address
2221 STOCKTON BLVD., CYPRESS BLDG. 3RD FLOOR, SUITE 3111, SACRAMENTO, CA 95817-1418
(916) 734-3510
(916) 734-7089

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
141002
CA
208600000X
Surgery Physician
MD00025766
WA
2086S0102X
Surgical Critical Care Physician
141002
CA
2086S0102X
Surgical Critical Care Physician
MD00025766
WA
2086S0127X
Trauma Surgery Physician
Primary
141002
CA
2086S0127X
Trauma Surgery Physician
MD00025766
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020027093
RAIL ROAD MEDICARE
WA
05
1710063573
WA
01
8141
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
03/29/2016
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