| NPI | 1326034117 |
|---|---|
| Former Name | JERRY J JOGERST |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 20750) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IA 20750) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-02-05 |