Healthcare Provider Details

I. General information

NPI: 1679492037
Provider Name (Legal Business Name): JEFFREY ROBERT TREMPER II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1828 ENTERPRISE CT
RIFLE CO
81650-8508
US

IV. Provider business mailing address

136 E PUEBLO ST UNIT 301
RENO NV
89502-2961
US

V. Phone/Fax

Practice location:
  • Phone: 586-921-2120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberQ232499
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: