Individual
DR. BRIAN K JORGENSEN
Active
Individual
DR. BRIAN K JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25981
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110213981
RR MEDICARE
—
01
—
25981
AZ LICENSE
—
Enumeration date
08/04/2006
Last updated
03/30/2011
Update your record
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