Individual
DR. JONATHAN HENRY DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
77 NEALY AVE, LANGLEY AFB, VA 23665-2040
(757) 764-0770
(757) 764-2395
Mailing address
77 NEALY AVE, LANGLEY AFB, VA 23665-2040
(757) 764-0770
(757) 764-2395
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102210071
VA
207P00000X
Emergency Medicine Physician
34.017401
OH
208D00000X
General Practice Physician
34.017401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019519
—
OH
Enumeration date
03/09/2023
Last updated
06/24/2026
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