Individual
JEREMY BRIAN TOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 BLANKENBAKER PKWY STE 301, LOUISVILLE, KY 40243-1895
(800) 928-9036
Mailing address
400 BLANKENBAKER PKWY STE 301, LOUISVILLE, KY 40243-1895
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A90623
CA
207L00000X
Anesthesiology Physician
Primary
MD00044648
WA
Other
Enumeration date
08/09/2005
Last updated
07/16/2021
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