Organization
DERMATOLOGY OF SOUTHEASTERN OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P. HIBLER D.O. (PRESIDENT OWNER)
(740) 454-7546
Entity
Organization
Contact information
Practice address
751 FOREST AVE STE 201, ZANESVILLE, OH 43701
(740) 454-7546
(740) 454-6760
Mailing address
751 FOREST AVE STE 201, ZANESVILLE, OH 43701-2875
(740) 454-7546
(740) 454-6760
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34004301
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712241
—
OH
Enumeration date
01/23/2007
Last updated
08/15/2018
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