Jason W Jorgensen, PA-C

NPI #1366953754 in Ephraim, Utah

Provider Information

NPI Number: 1366953754
Entity Type: Individual
Name: Jason W Jorgensen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 12, 2017
Last Updated: Oct 12, 2017

Practice Location

Address: 525 N MAIN ST
City: Ephraim
State: Utah
ZIP Code: 84627-1155
Phone: (435) 283-4076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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