Individual
DR. JASON T. MCMULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, ML0769, CINCINNATI, OH 45219-2364
(513) 558-8090
(513) 558-5791
Mailing address
2830 VICTORY PKWY, ATTN LAURIE JOHNSTON, CENTRAL CREDENTIALING DEPARTMENT, CINCINNATI, OH 45206-1785
(513) 245-3667
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.089363
OH
Other
Enumeration date
05/03/2007
Last updated
06/18/2010
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