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NPI Code Detail

MEDICARE: CRAIG M JORGENSON MD LTD

MEDICARE: CRAIG M JORGENSON MD LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianNV
2363L00000XNurse PractitionerNV

General Provider Information

NPI Number : 1205281953
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRAIG M JORGENSON MD LTD
Provider Business Mailing Address
First Line : 9975 S EASTERN AVE
Second Line : SUITE 110
City : LAS VEGAS
State : NV
Zip : 89183-7949
Country : US
Telephone Number : 702-492-7208
Fax Number : 702-616-0657
Provider Business Practice Location Address
First Line : 9975 S EASTERN AVE
Second Line : SUITE 110
City : LAS VEGAS
State : NV
Zip : 89183-7949
Country : US
Telephone Number : 702-492-7208
Fax Number : 702-616-0657
Authorized Official
Title or Position : PHYSICIAN
Name : CRAIG M JORGENSON
Credential : MD
Telephone Number : 702-492-7208
Provider Enumeration Date : 05/02/2016
Last Update Date : 05/02/2016

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Directions to “CRAIG M JORGENSON MD LTD ” Practice Location

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