Individual provider · Type 1 NPI

Jack M. Thome, PA

Diagnostic Radiology Physician · Cleveland, OH

NPI number 1790741460 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

6000 W Creek Rd, Suite 10
Independence, OH 44131-2139

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X34003258 (OH)

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 1790741460

Jack M. Thome, PA's National Provider Identifier is 1790741460, issued on Apr 21, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Cleveland, OH. The record was last updated on Feb 22, 2008.