JEFFERSON MASON TRUPP

TUSCALOOSA, AL
NPI1871552638
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0001X 
(Licence: FL  ME40682)
Additional Taxonomies2085R0001X 
(Licence: AL  MD.11479)
Enumeration Date2006-03-21
Last Update Date2024-12-02
Business Address
JEFFERSON MASON TRUPP MD
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406-2459
Phone number: 205-345-8208
Mailing Address
JEFFERSON MASON TRUPP MD
8203 N LAGOON DR
PANAMA CITY, FL 32408-5267
Phone number: 850-896-0773
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