DERRICK JORGENSEN

Physician Assistant

NPI: 1609519198IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA-2250(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2021

Contact & Hours

Address: 3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Phone: (208) 529-2230

Location

Practice Location

3200 CHANNING WAY STE 206, IDAHO FALLS, ID

Quick Facts

NPI: 1609519198
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 5

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