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Individual

JAY E PFEIFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15230 ST RT 309E, KENTON, OH 43326
(419) 673-0597
(419) 673-0973
Mailing address
15230 ST RT 309E, KENTON, OH 43326
(419) 673-0597
(419) 673-0973

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30159
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0083225
OH
Enumeration date
01/12/2007
Last updated
07/08/2007
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