JEREMIAH JORGENSEN

FIFE DERMATOLOGY PC

Dr JEREMIAH JORGENSEN is a male medical professional, specializing in Physician Assistant. He graduated in 2009.

Contact

FIFE DERMATOLOGY PC

6460 MEDICAL CTR ST
SUITE 350
LAS VEGAS
NV
891482423

Tel: 7022556647

JEREMIAH JORGENSEN Information

Npi 1669704045
Pac Id 2062542657
Professional Enrollment Id I20190626002885
Last Name JORGENSEN
First Name JEREMIAH
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FIFE DERMATOLOGY PC
Group Practice Pac Id 1355480252
Number Of Group Practice Members 11
Line 1 Street Address 6460 MEDICAL CTR ST
Line 2 Street Address SUITE 350
Marker Of Address Line 2 Suppression
City LAS VEGAS
State NV
Zip Code 891482423
Phone Number 7022556647
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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