Individual
THEODORE S TOMENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 W. 16TH STREET, SUITE 2800, INDIANAPOLIS, IN 46202-7176
(317) 963-7308
(317) 963-7325
Mailing address
3406 W ADELINE ST, HATTIESBURG, MS 39402-1703
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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