Scott Andrew Jorgensen, M.D.
Radiology, Pediatric Radiology in Phoenix, AZ. Individual provider (NPI-1).
NPI number1801037239
StatusActive
Last updated in NPPESSep 22, 2017
Details
- NPI
- 1801037239
- Entity type
- Individual (NPI-1)
- Name
- Scott Andrew Jorgensen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2009
- Last updated
- Sep 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085P0229X | Radiology, Pediatric Radiology | 43303 | AZ | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 13195 | NV | |
| 2085R0202X | Radiology, Diagnostic Radiology | MT186991 | PA | |
| 2085R0202X | Radiology, Diagnostic Radiology | 43303 | AZ |
Practice location
1919 E Thomas RdEast Building
Phoenix, AZ 85016-7710
Phone 602-933-1213 · Fax 602-933-1214
Mailing address
3200 E Camelback RdSte 250
Phoenix, AZ 85018-2327
Phone 602-933-1813 · Fax 602-933-1820
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