Individual
JEREMY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1461
(937) 523-1590
Mailing address
100 MEDICAL CENTER DR, P.O BOX 638220, SPRINGFIELD, OH 45504-2687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003948
OH
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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