Individual
JEFFREY S FINE
Active
Individual
JEFFREY S FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
018765
LA
207RG0100X
Gastroenterology Physician
Primary
M6131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1847469 01
—
TX
05
—
1934348
—
LA
Enumeration date
06/01/2005
Last updated
08/07/2018
Update your record
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