Individual
JOHN JORDAN SANDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9314 BUCKBOARD DR, DAYTON, OH 45458-3796
(614) 935-7863
Mailing address
9314 BUCKBOARD DR, DAYTON, OH 45458-3796
(614) 935-7863
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.416152
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
144394
OH
Other
Enumeration date
07/18/2022
Last updated
05/30/2023
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