Jack R Goertzen is a student in an organized health care education training program in Aurora, CO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jack R Goertzen NPI is 1144910464. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
MAIL STOP F-847
13065 E. 17TH AVENUE
AURORA, CO
ZIP 80045
Phone: (410) 726-9335
The enumeration date for this NPI number is 5/10/2023 and was last updated on 5/10/2023.