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NPI Code Detail

MEDICARE: WILLIAM CURTIS JERNBERG M.D.

MEDICARE: WILLIAM CURTIS JERNBERG M.D.
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
1207P00000XEmergency Medicine PhysicianE1344TX

General Provider Information

NPI Number : 1679530786
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CURTIS JERNBERG M.D.
Provider Business Mailing Address
First Line : PO BOX 8237
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-8237
Country : US
Telephone Number : 469-401-2386
Fax Number : 214-712-2444
Provider Business Practice Location Address
First Line : 2300 MARIE CURIE DR
Second Line :
City : GARLAND
State : TX
Zip : 75042-5706
Country : US
Telephone Number : 972-487-5332
Fax Number : 214-712-2444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 10/07/2013

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