Individual
DAVID ALLEN JUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 NEAL ZICK RD, WILLARD, OH 44890-9287
(419) 933-2811
(419) 933-4502
Mailing address
1100 NEAL ZICK RD, WILLARD, OH 44890-9287
(419) 933-2811
(419) 933-4502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-00-3318
OH
207Q00000X
Family Medicine Physician
Primary
34003318
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34003318
OH MEDICAL LICENSE
OH
05
—
488913
—
OH
Enumeration date
07/11/2006
Last updated
01/29/2019
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