Individual
DR. PETER J JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 CLOYD BLVD, SUITE 9, FLORENCE, AL 35630-7512
(256) 349-5275
(256) 349-5279
Mailing address
PO BOX 897, FLORENCE, AL 35631-0897
(256) 349-5275
(256) 349-5279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18828
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113110A
—
GA
05
—
529915120
—
AL
Enumeration date
06/20/2005
Last updated
07/18/2012
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