Healthcare Provider Details

I. General information

NPI: 1679658736
Provider Name (Legal Business Name): JEREMY SCOTT CURRY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 S RIDGEVIEW DRIVE SUITE 300
YUMA AZ
85364-8866
US

IV. Provider business mailing address

4698 W 23RD LN
YUMA AZ
85364-7842
US

V. Phone/Fax

Practice location:
  • Phone: 928-329-4886
  • Fax:
Mailing address:
  • Phone: 928-276-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number32246
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA94601
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number32246
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: