Individual
JARED MITCHELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8148
Mailing address
1909 BITTERSWEET DR, CHAMPAIGN, IL 61821-6371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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