Individual
DR. JEFFREY ROBERT HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W 12TH AVE, ROOM 460, COLUMBUS, OH 43210-1267
(614) 293-8369
Mailing address
395 W 12TH AVE, ROOM 460, COLUMBUS, OH 43210-1267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.090152
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034255
—
OH
05
—
3810017116
—
WV
Enumeration date
05/02/2007
Last updated
07/22/2010
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