Individual
MR. JEFFREY TIMOTHY WILLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNMT
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
135 LODEWOOD DR, CENTERVILLE, OH 45458
(937) 439-0391
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
016234
OH
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
N2546923
OH
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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