Individual
JEREMY STORM
Active
Individual
JEREMY STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61536228
WA
207RI0200X
Infectious Disease Physician
7992
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP61536228
WA STATE LICENSE
WA
Enumeration date
09/04/2007
Last updated
01/06/2026
Update your record
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