Gordon Jeremy Juriansz M.D.

NPI 1023151735 - Internal Medicine - 207R00000X

NPI Details
NPI 1023151735
Gender Male
Enumeration Date 02/14/2007
Last Updated 01/28/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1611 BRYDEN LN
SANTA ROSA CA, 95404-3644, US
Phone (707) 477-4860
Fax (707) 450-1961
Business Location
1611 BRYDEN LN
SANTA ROSA CA, 95404-3644, US
Phone (707) 477-4860
Fax (707) 450-1961
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A84655
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According to our database, Gordon Jeremy Juriansz M.D. NPI is 1023151735, taxonomy code is 207R00000X and license number is A84655, license state is located at California. Gordon Jeremy Juriansz M.D. physically located at 1611 Bryden Ln, Santa Rosa CA, 95404-3644. NPI Number Gordon Jeremy Juriansz M.D. has the Individual type.

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1023151735 NPI number is provided on an as is basis without warranty of any kind. 1023151735 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Jeremy Juriansz M.D. are for informational purposes only.