Individual
DR. SOUHEIL AL-JADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35038389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0389182
—
OH
Enumeration date
06/10/2006
Last updated
06/25/2014
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