Individual
JEREMY ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5230 E FARNESS DR STE 100, TUCSON, AZ 85712-2141
(520) 318-9681
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110007594
VA
363AM0700X
Medical Physician Assistant
7121
AZ
Other
Enumeration date
08/31/2018
Last updated
08/16/2022
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