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Individual

JEREMY S. RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8000
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.00698RX
OH

Other

Enumeration date
05/19/2019
Last updated
12/28/2023
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