Individual
DR. HARRY E. JERGESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2808
(415) 353-2956
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G26056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G260560
—
CA
Enumeration date
05/20/2006
Last updated
01/10/2012
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