Individual
THOMAS ABRAHAM JAKOB JEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-3940
Mailing address
23738 CASTILLA CT, VALENCIA, CA 91355-2219
(661) 312-2157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
205045
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2010
Last updated
10/11/2013
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