Individual
DR. THOMAS JEFFERSON GERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-1814
(626) 396-2900
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
45335
AZ
207Y00000X
Otolaryngology Physician
Primary
C139412
CA
Other
Enumeration date
03/23/2007
Last updated
12/14/2020
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