Individual
MR. JARROD BLAKE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 734-8333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34.014133
OH
2084P0800X
Psychiatry Physician
58.08062
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
06/16/2020
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