Individual
JUSTIN A CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8040 PRINCETON GLENDALE RD, WEST CHESTER, OH 45069-5802
(513) 246-2300
(513) 852-3876
Mailing address
8040 PRINCETON GLENDALE RD, WEST CHESTER, OH 45069-5802
(513) 246-2300
(513) 852-3876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005432
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267433
—
OH
Enumeration date
01/29/2018
Last updated
06/24/2024
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