Individual
JEFFREY BORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-2800
(740) 922-2800
Mailing address
2184 CANTON RD NW, CARROLLTON, OH 44615-8619
(330) 627-8176
(330) 627-8176
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-064884
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919359
—
OH
Enumeration date
06/22/2006
Last updated
07/08/2007
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