Individual
DR. JEFFREY ARTHUR DVERGSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45211
MN
2080P0216X
Pediatric Rheumatology Physician
Primary
2010-01376
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147475
—
MT
05
—
0597021
—
MN
01
—
1033631
PREFERRED ONE
MN
01
—
12-03423
MEDICA CHOICE
MN
01
—
12-09026
MEDICA CHOICE
MN
01
—
171323
UCARE
MN
01
—
1864181
ARAZ
MN
05
—
34800400
—
WI
05
—
552443100
—
MN
01
—
631T9DV
BCBS
MN
01
—
HP37914
HEALTHPARTNERS
MN
Enumeration date
06/30/2006
Last updated
01/19/2022
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