Individual
MR. JEREMY TRETHEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(907) 202-6796
Mailing address
3 HOLLY ST, FORT STEWART, GA 31315-1020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
05/13/2024
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