Individual
DR. JONATHAN RUSSELL DILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, RADIOLOGY, CINCINNATI, OH 45219-2364
(513) 584-2146
(513) 584-0431
Mailing address
3333 BURNET AVE 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
35 125930
OH
2085P0229X
Pediatric Radiology Physician
48745
KY
2085R0202X
Diagnostic Radiology Physician
35 125930
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301083787
PHYSICIAN LICENSE
MI
Enumeration date
03/26/2007
Last updated
10/30/2023
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