Individual
JOHN A SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(513) 435-0410
Mailing address
4600 WICKLOW DR, MIDDLETOWN, OH 45042-2970
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002807
OH
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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