Dr. William Lee Jurgens
Family Doctor Emergency Physician
1100 Carson Ave
La Junta
, Colorado 81050-2751
Dr. William Lee Jurgens
Family Doctor Emergency Physician
1100 Carson Ave
La Junta
, Colorado 81050-2751
(719) 383-6116
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About
Features
Specialties
- Emergency Physician
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. William Lee Jurgens
- 1100 Carson Ave
- La Junta, CO
- Zip : 81050-2751
- Phone : (719) 383-6116
Second Address
- Dr. William Lee Jurgens
- 1100 Carson Ave
- La Junta, CO
- Zip : 81050-2751
- Phone : (719) 384-5412
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 30705 | CO |
| Y | 207Q00000X | Family Doctor | 30705 | CO |
National Provider Identifier
| NPI | 1003865049 |
|---|---|
| Provider Name | Dr. William Lee Jurgens |
| First Address | La Junta, CO 81050-2751 |
| Second Address | La Junta, CO 81050-2751 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 20/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E70280 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.