# DR. JEFFREY A DEMOSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568487841
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 009674 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | 5101012101 | MI | — |
| 207Q00000X | Family Medicine Physician | DO2525 | NV | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 08/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1568487841 | — | NV |
| 05 | — | 3455425 | — | MI |
| 01 | — | DO2525 | STATE LICENS | NV |