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Individual

JEFFREY T VERCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
8039 WASHINGTON VILLAGE DRIVE, STE 100, CENTERVILLE, OH 45458
(937) 435-8999
(937) 435-4211
Mailing address
8039 WASHINGTON VILLAGE DRIVE, STE 100, CENTERVILLE, OH 45458-3859
(937) 435-8999
(937) 435-4211

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50002060
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0893476
OH
Enumeration date
12/05/2005
Last updated
11/07/2007
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