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Individual

DR. JEFFREY E THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 MOWRY AVE, SUITE 222, FREMONT, CA 94538-1605
(510) 818-1160
(510) 818-1195
Mailing address
2500 MOWRY AVE, SUITE 222, FREMONT, CA 94538-1605
(510) 818-1160
(510) 818-1195

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G67705
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G67705
CA STATE MEDICAL LICENSE
CA
Enumeration date
05/16/2006
Last updated
04/27/2012
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