Individual
DR. THOMAS JETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1434 CHESTER BLVD, RICHMOND, IN 47374-1947
(765) 966-1600
(765) 962-9641
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 966-1600
(765) 962-9641
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01086136A
IN
Other
Enumeration date
05/27/2016
Last updated
09/23/2021
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