Individual
JERRY B MAGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 424-7711
(513) 424-3599
Mailing address
275 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 424-7711
(513) 424-3599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.050466
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0661387
—
OH
Enumeration date
12/08/2005
Last updated
12/03/2015
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