Individual
JENNIFER S SPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, SUITE 235, CINCINNATI, OH 45219-2906
(513) 585-3238
(513) 585-3254
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.092787
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2923019
—
OH
Enumeration date
11/20/2008
Last updated
10/28/2020
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