Mrs. Gina Marie Jurek
Ophthalmic
Bldg. 6901 Farrel Road
Fort Rucker
, Alabama 36362-0577
Mrs. Gina Marie Jurek
Ophthalmic
Bldg. 6901 Farrel Road
Fort Rucker
, Alabama 36362-0577
(334) 255-6873
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About
Features
Specialties
- Ophthalmic
Languages spoken
- English
Location
First Address
- Mrs. Gina Marie Jurek
- Po Box 620577 Bldg. 6901 Farrel Road
- Fort Rucker, AL
- Zip : 36362-0577
- Fax : (334) 255-6873
- Phone : (334) 255-6807
Second Address
- Mrs. Gina Marie Jurek
- Bldg. 6901 Farrel Road
- Fort Rucker, AL
- Zip : 36362-0577
- Fax : (334) 255-6873
- Phone : (334) 255-6807
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1100X | Ophthalmic | 79518 | MN |
National Provider Identifier
| NPI | 1376705285 |
|---|---|
| Provider Name | Mrs. Gina Marie Jurek |
| First Address | Fort Rucker, AL 36362-0577 |
| Second Address | Fort Rucker, AL 36362-0577 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2008 |
| Last Update Date | 30/01/2013 |
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.