Gordon Jeremy Juriansz in Santa Rosa - Internal Medicine

Gordon Jeremy Juriansz - NPI 1023151735

Gordon Jeremy Juriansz is a Internal Medicine in Santa Rosa, California. Gordon Jeremy Juriansz practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gordon Jeremy Juriansz is 1023151735. The last update date is 2022-10-25.

Gordon Jeremy Juriansz's current location address is 1611 Bryden Ln, Santa Rosa, California. You can contact this provider via phone number 7074774860 and fax number 7074501961. The mailing address for Gordon Jeremy Juriansz is 1611 Bryden Ln, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon Jeremy Juriansz
Address 1611 Bryden Ln, Santa Rosa, California
Phone Number 7074774860
Fax Number 7074501961
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1023151735
Provider Enumeration Date 2007-02-14
Last Updated Date 2022-10-25

Provider Mailing Address Detail

Address 1611 Bryden Ln
City Santa Rosa
State California (CA)
Post Code 954043644
Phone Number 7074774860
Fax Number 7074501961

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A84655
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A846550 CA --

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FAQs about Gordon Jeremy Juriansz

What is the unique identifier code issued to Gordon Jeremy Juriansz by the Centers for Medicare & Medicaid Services (CMS)?

The Gordon Jeremy Juriansz has been assigned the NPI (National Provider Identifier) 1023151735. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Gordon Jeremy Juriansz's facilities are geographically located?

The facilities of Gordon Jeremy Juriansz are physically situated at the following location: 1611 Bryden Ln, Santa Rosa, CA, 954043644.

What is Gordon Jeremy Juriansz's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gordon Jeremy Juriansz's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1023151735 to Gordon Jeremy Juriansz?

The Centers for Medicare & Medicaid Services assigned the 1023151735 to Gordon Jeremy Juriansz on 2007-02-14.

As of what date were the details pertaining to Gordon Jeremy Juriansz last refreshed?

The information related to the Gordon Jeremy Juriansz, including its address, specialty, and other relevant details, was last updated on 2022-10-25.

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