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Individual

DR. JASON L RICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
485 W MAIN ST, WILMINGTON, OH 45177-2174
(866) 934-7450
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35081549
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35.081549CTR
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2389106
OH
05
420977
OH
Enumeration date
07/18/2005
Last updated
05/10/2023
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