Individual
TOMMY SYMRENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3700 WASHINGTON AVE, ST MARYS MEDICAL CENTER ANESTHESIA DEPT, EVANSVILLE, IN 47750
(812) 485-4000
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01039682A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01039682A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065502
BLUE SHIELD
IN
01
—
050066923
RAILROAD MEDICARE
—
05
—
100334270
—
IN
01
—
11509292
CAQH
—
05
—
64873664
—
KY
Enumeration date
06/02/2006
Last updated
09/27/2016
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