Individual
SAMUEL STEVEN JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 E MONTVUE DR, SUITE 100, MERIDIAN, ID 83642-6318
(208) 855-2900
(208) 898-9788
Mailing address
360 E MONTVUE DR, SUITE 100, MERIDIAN, ID 83642-6318
(208) 855-2900
(208) 898-9788
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M-8450
ID
Other
Enumeration date
06/19/2006
Last updated
02/26/2008
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