Individual
DR. JOSHUA RANDALL CLEVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 MATTHEW ST STE 302, MARIETTA, OH 45750-1656
(740) 568-5207
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.139824
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2014
Last updated
08/04/2023
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