Individual
DR. JEFFREY BRUCE STUDEBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 MOSIER PKWY, BROOKVILLE, OH 45309-1750
(937) 833-4103
(937) 833-3147
Mailing address
98 MOSIER PKWY, BROOKVILLE, OH 45309-1750
(937) 833-4103
(937) 833-3147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35 044532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233943
ANTHEM BC/BS
OH
01
—
0004570608
AETNA
OH
01
—
0120266
UNITED HEALTHCARE
OH
05
—
0545780
—
OH
Enumeration date
10/27/2006
Last updated
02/24/2017
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