Individual
DR. JEFFREY A DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1740 E FORT LOWELL RD STE 100, TUCSON, AZ 85719-2384
(520) 613-0001
(520) 504-6482
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009674
AZ
207Q00000X
Family Medicine Physician
5101012101
MI
207Q00000X
Family Medicine Physician
DO2525
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568487841
—
NV
05
—
3455425
—
MI
01
—
DO2525
STATE LICENS
NV
Enumeration date
07/13/2006
Last updated
08/07/2024
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