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Individual

DR. CHAD JEREME FOGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2449 ROSS MILLVILLE RD, SUITE B50, HAMILTON, OH 45013-8951
(513) 737-6068
(513) 737-6681
Mailing address
2449 ROSS MILLVILLE RD, STE B50, HAMILTON, OH 45013-8952
(937) 752-2306
(937) 522-7626

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008667
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2769204
OH
Enumeration date
01/09/2007
Last updated
01/14/2021
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