Individual
JOSHUA CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 662-2280
Mailing address
1271 MORTEN ST, CINCINNATI, OH 45208-2744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007141
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2023
Last updated
07/31/2023
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