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Individual

JODI I SPERBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
30 E APPLE ST, SUITE 6250, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
30 E APPLE ST, SUITE 6250, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34007948
OH
208M00000X
Hospitalist Physician
Primary
34007948
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000344885
ANTHEM
OH
01
0113407
UNITED HEALTH CARE
OH
05
2538025
OH
01
421534506101
CARESOURCE
OH
01
7051609
AETNA
OH
01
D0794801
HUMANA/CHOICECARE
OH
Enumeration date
12/21/2005
Last updated
02/14/2013
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