Jorgensen, Mark Joseph

Jorgensen, Mark Joseph is an individual health care provider with primary practice located at 3501 N Scottsdale Rd Ste 130, Scottsdale AZ 85251-5648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Jorgensen, Mark Joseph can be contacted via phone (480) 425-5000.

Contact Information

Primary practice address
3501 N Scottsdale Rd Ste 130 Scottsdale AZ 85251-5648
Phone: (480) 425-5000
Fax: (480) 945-6548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25339 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25339 Arizona

Profile Details

NPI number 1548259526
LBN Legal business name Jorgensen, Mark Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548259526 NPPES
Arizona MEDICAID 389644

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