Individual
DR. JODY LEE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 MEDICAL CENTER DR STE A, SPRINGFIELD, OH 45504-2688
(937) 523-9480
(937) 523-9490
Mailing address
200 MEDICAL CENTER DR STE A, SPRINGFIELD, OH 45504-2688
(937) 523-9480
(937) 523-9490
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
PENDING
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053527523
NPI
OH
Enumeration date
05/14/2007
Last updated
03/08/2023
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