Individual
DR. JEFFREY MARLOWE YOUNGQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-6484
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.019682
OH
2085R0202X
Diagnostic Radiology Physician
Primary
57.019682
OH
Other
Enumeration date
11/28/2011
Last updated
02/21/2018
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