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Individual

MR. DANA P JERGENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1231 116TH AVE NE, SUITE 750, BELLEVUE, WA 98004-3804
(425) 455-3600
(425) 455-3220
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60285528
WA
363AS0400X
Surgical Physician Assistant
PA9105721
FL

Other

Enumeration date
11/24/2010
Last updated
07/11/2012
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