Individual
DR. MOLLY A TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3205 WOODMAN DR, DAYTON, OH 45420-1143
(937) 298-4417
(937) 298-8260
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 713-1779
(138) 549-9215
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
34.012776
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236490
—
OH
Enumeration date
11/12/2011
Last updated
11/09/2023
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