Individual
JASON W MAILLOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8050 E MAIN ST STE 3100, REYNOLDSBURG, OH 43068-1246
(614) 866-8077
(614) 866-9752
Mailing address
8050 E MAIN ST STE 3100, REYNOLDSBURG, OH 43068-1246
(614) 866-8077
(614) 866-9752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-089449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2741662
—
OH
Enumeration date
05/01/2007
Last updated
06/11/2025
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