Individual
HARRY J DRIEDGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1870 COLES BLVD, PORTSMOUTH, OH 45662-6900
(740) 353-7870
(740) 353-1531
Mailing address
1870 COLES BLVD, PORTSMOUTH, OH 45662-6900
(740) 353-7870
(740) 353-1531
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20487
KY
207RC0000X
Cardiovascular Disease Physician
Primary
35 043229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119226
ANTHEM BC/BS
—
01
—
0004341984
AETNA
—
05
—
0410648
—
OH
01
—
25-00343
UNITED HEALTH CARE
—
05
—
64930704
—
KY
Enumeration date
01/10/2006
Last updated
07/09/2007
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