Individual
JARED JUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6905 HOSPITAL DR STE 130, DUBLIN, OH 43016-9600
(614) 923-0300
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469120
—
OR
Enumeration date
07/09/2020
Last updated
12/28/2021
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