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Individual

JERRY B AMMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
Mailing address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 379-5867
(830) 401-4035

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02001791A
IN
207L00000X
Anesthesiology Physician
Primary
Q1349
TX

Other

Enumeration date
10/05/2006
Last updated
03/15/2023
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