Individual
DR. JEREMY DEPUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4010 RHODES AVE, PORTSMOUTH, OH 45662-5557
(740) 456-4143
Mailing address
4010 RHODES AVE, PORTSMOUTH, OH 45662-5557
(740) 456-4143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6450
OH
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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