Individual
JILL CLARISSA ASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Mailing address
3000 MACK RD, FAIRFIELD, OH 45014-5335
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-094834
OH
390200000X
Student in an Organized Health Care Education/Training Program
57-014600
OH
Other
Enumeration date
09/17/2008
Last updated
07/23/2012
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