# DR. JEDIDIAH DUNBAR OLDHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467891903
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11197222-1204 | UT | Yes |
| 208600000X | Surgery Physician | 5101020701 | MI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | 58976 | MT | — |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 11/27/2023