Individual
JOHN W TEDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 LINCOLN PARK DR, NEW LEXINGTON, OH 43764-1033
(740) 342-5107
(740) 342-5351
Mailing address
945 BETHESDA DR STE 200, ZANESVILLE, OH 43701-1880
(740) 454-4788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-000612
OH
Other
Enumeration date
04/20/2009
Last updated
04/12/2012
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