Individual provider · Type 1 NPI
Jeb Thomas List, MD
Diagnostic Radiology Physician · Muncie, IN
NPI number
1023429925
Active
Practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
14441 Dupont Ct Ste 304
Omaha, NE 68144-2107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 29954 (NE) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1023429925
Jeb Thomas List, MD's National Provider Identifier is 1023429925, issued on May 13, 2014. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Muncie, IN. The record was last updated on Dec 14, 2020.