Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN J TOLLEFSON, M.D.
ActiveDR. BRIAN J TOLLEFSON, M.D. is a Sports Medicine healthcare provider located in JACKSON, Mississippi. NPI 1093747776 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · JACKSON, MS
Registration Details
- NPI Number
- 1093747776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.063024700288 yrs)
- Last Updated
- Mar 24, 2023
- Licenses
-
18987 (MS)18987 (MS)
Practice Information
- Address
-
2500 N STATE STJACKSON, MS, 392164500Browse MS providers · Browse ZIP 39216
- Phone
- 6019845571
- Fax
- 6019845583
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.