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1598712077

NPI Code Detail

MEDICARE: JOSEPH JURA MD

MEDICARE: JOSEPH JURA MD

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
1	207RP1001X	Pulmonary Disease Physician	MD00043500	WA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD00043500	WA
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	MD00043500	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598712077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH JURA MD

Provider Business Mailing Address
First Line	:	700 NE 87TH AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-1913
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 NE 87TH AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-1913
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:	360-604-1727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	05/29/2015

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Directions to “ JOSEPH JURA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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