Individual
DR. ADDISON REEDE TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(714) 225-8665
Mailing address
3738 W SALINAS CIR, DAYTON, OH 45440-3959
(714) 225-8665
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34009509
OH
207P00000X
Emergency Medicine Physician
5101015861
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2956350
—
OH
Enumeration date
02/15/2007
Last updated
08/22/2020
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