Individual
JON THOMAS UMLAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(206) 616-5781
Mailing address
4647 ZION AVE, NUCLEAR MEDICINE DEPARTMENT, SAN DIEGO, CA 92120-2507
(619) 528-6567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA56685
NJ
207U00000X
Nuclear Medicine Physician
Primary
G89012
CA
207U00000X
Nuclear Medicine Physician
MD00046429
WA
2083A0100X
Aerospace Medicine Physician
25MA56685
NJ
208D00000X
General Practice Physician
25MA56685
NJ
Other
Enumeration date
10/31/2005
Last updated
11/29/2021
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