Organization
JS AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI SPERBER DO (PRESIDENT)
(937) 371-7000
Entity
Organization
Contact information
Practice address
2400 PASSAGE KEY TRL, XENIA, OH 45385-9212
(937) 371-7000
(937) 534-0166
Mailing address
2400 PASSAGE KEY TRL, XENIA, OH 45385-9212
(937) 371-7000
(937) 534-0166
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
34007948
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2538025
—
OH
Enumeration date
02/25/2014
Last updated
02/25/2014
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