Individual
ROGER LEON JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14222 N 95 SI, LONGMONT, CO 80504
(303) 682-0268
Mailing address
14222 N 95 ST., LONGMONT, CO 80504
(303) 682-0268
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15771
CO
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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