MR. Jesse A Jorgensen, PAC

NPI #1336130889 in Layton, Utah

Provider Information

NPI Number: 1336130889
Entity Type: Individual
Name: MR. Jesse A Jorgensen, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Nov 3, 2005
Last Updated: Oct 29, 2021

Practice Location

Address: 1580 W ANTELOPE DR
Address 2: SUITE 100
City: Layton
State: Utah
ZIP Code: 84041-1160
Phone: (801) 927-1632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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