Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMIAH DORN, IDC
Active Sole ProprietorMR. JEREMIAH DORN, IDC is a Physician Assistant healthcare provider located in TWENYNINE PALMS, California. NPI 1285823039 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TWENYNINE PALMS, CA
Registration Details
- NPI Number
- 1285823039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2007 (18.646322823738 yrs)
- Last Updated
- Oct 17, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
76495 CORBIN RDTWENYNINE PALMS, CA, 92277Browse CA providers · Browse ZIP 92277
- Phone
- 7607835480
- Primary Specialty
-
Physician Assistant
363A00000X
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.