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Individual

JEFFREY A ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2170B SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5554
(530) 541-3016
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5659
(530) 541-8723

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
17131
NV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A149744
CA

Other

Enumeration date
04/12/2011
Last updated
07/16/2025
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