Individual
JOSIAH DAVID FREEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 798-8407
(915) 569-2652
Mailing address
1216 BIG PINE DR, VALRICO, FL 33596-6192
(816) 872-4924
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2086S0127X
Trauma Surgery Physician
Primary
01071014A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01071014A
—
IN
Enumeration date
06/16/2010
Last updated
01/05/2023
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