Individual
JASON JAMES DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-3600
(614) 293-4399
Mailing address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-3600
(614) 293-6479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35080101
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35080101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344814
—
OH
Enumeration date
05/01/2006
Last updated
12/22/2021
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