Jeong, Gerard K

Jeong, Gerard K is an individual health care provider with primary practice located at 5301 E Grant Rd Orthopaedic Bldg, 1St Floor, Tucson AZ 85712-2805. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Jeong, Gerard K can be contacted via phone (520) 784-6200.

Contact Information

Primary practice address
5301 E Grant Rd Orthopaedic Bldg, 1St Floor Tucson AZ 85712-2805
Phone: (520) 784-6200
Fax: (520) 784-6109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33838 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 33838 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 33838 Arizona

Profile Details

NPI number 1194727578
LBN Legal business name Jeong, Gerard K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 10th, 2014 - about 12 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 1194727578 NPPES
Arizona MEDICAID 939390

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