Individual
JONATHON WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2725
(859) 323-2222
(859) 323-5090
Mailing address
1404 E MCMILLAN ST APT 10, CINCINNATI, OH 45206-2241
(330) 671-7647
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
35.138489
OH
2085P0229X
Pediatric Radiology Physician
Primary
55206
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2015
Last updated
02/19/2024
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