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Individual

SEAN KARL CHOICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2112 CHERRY VALLEY RD, NEWARK, OH 43055-1323
(740) 522-3774
(740) 522-2221
Mailing address
2112 CHERRY VALLEY RD, P O BOX 948, NEWARK, OH 43055-1323
(740) 522-3774
(740) 522-2221

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-069450
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2050211
OH
01
300096717
RAILROAD MEDICARE
Enumeration date
10/17/2006
Last updated
09/29/2011
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