Organization
GARY JENISON MD, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA W JENISON (OFFICE MANAGEER)
(740) 779-2233
Entity
Organization
Contact information
Practice address
80 STAR DR, CHILLICOTHE, OH 45601-9583
(740) 779-2233
(740) 779-2234
Mailing address
PO BOX 105, CHILLICOTHE, OH 45601-0105
(740) 779-2233
(740) 779-2234
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35069046
OH
Other
Enumeration date
02/01/2008
Last updated
02/29/2008
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