Individual
DR. JASON DWIGHT MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3248
Mailing address
405 WEST GRAND AVENUE, DAYTON, OH 45458
(937) 723-3211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012526
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2013
Last updated
07/12/2017
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