Individual
DR. SCOTT J JOGGERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45496
CO
207R00000X
Internal Medicine Physician
5101013785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023920
KASIER COMMERCIAL NUMBER
CO
01
—
110F376980
BCBSM
MI
05
—
4426230
—
MI
05
—
54551579
—
CO
Enumeration date
03/22/2006
Last updated
06/14/2021
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