Individual
ACO JOVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 N MAIN ST, SUITE 403, DAYTON, OH 45415-1180
(937) 836-5171
(937) 832-0728
Mailing address
9000 N MAIN ST, SUITE 403, DAYTON, OH 45415-1180
(937) 836-5171
(937) 832-0728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35083791
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339101
ANTHEM BCBS
—
01
—
0113381
UHC DR JOVANOV
OH
05
—
2468342
—
OH
01
—
7231458
CIGNA
OH
01
—
7916625
AETNA DR JOVANOV
OH
Enumeration date
07/29/2005
Last updated
03/25/2008
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