Individual
JONATHAN WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429-1265
(937) 643-9299
Mailing address
1 PRESTIGE PL, STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.006352RX
OH
363A00000X
Physician Assistant
50.006352RX
OH
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
02/04/2020
Last updated
04/05/2021
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