Individual
JASON P TOMSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8040 CLEARVISTA PKWY STE 490, INDIANAPOLIS, IN 46256
(317) 621-5450
(317) 621-5453
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02005662A
IN
208600000X
Surgery Physician
OS014821
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102334464
—
PA
05
—
300029159
—
IN
Enumeration date
06/08/2007
Last updated
11/27/2023
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