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Contact Information

ZACHARY R JERGENSEN, MD
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT84108-1239
 Phone: 801-581-6393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ZACHARY R JERGENSEN · (Male)

NPI Number 1023502093
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2018
Last updated 08/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2018020285
  • MO License # 2020029411
  • UT License # 12751738-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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