Individual
DERON JAY FOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R)(MR)
Contact information
Practice address
11939 STATE ROUTE 138 SW, GREENFIELD, OH 45123-8107
(937) 403-6630
Mailing address
11939 STATE ROUTE 138 SW, GREENFIELD, OH 45123-8107
(937) 403-6630
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
383788
OH
2085R0202X
Diagnostic Radiology Physician
Primary
8855015
OH
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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