Individual
JEFFERSON MASON TRUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 MCFARLAND BLVD N, TUSCALOOSA, AL 35406-2459
(205) 345-8208
Mailing address
8203 N LAGOON DR, PANAMA CITY, FL 32408-5267
(850) 896-0773
(850) 234-9272
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MD.11479
AL
2085R0001X
Radiation Oncology Physician
Primary
ME40682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014577
—
AL
05
—
266076800
—
FL
Enumeration date
03/21/2006
Last updated
12/02/2024
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