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Individual

JASON R TATKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7500
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34-012050
OH
208M00000X
Hospitalist Physician
34-012050
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200476730
IN
05
2821398
OH
Enumeration date
07/27/2006
Last updated
05/19/2025
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