Organization
JACK D. SELZER, M.D. AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK D. SELZER M.D. (PRESIDENT)
(513) 891-7265
Entity
Organization
Contact information
Practice address
10495 MONTGOMERY RD STE 26, CINCINNATI, OH 45242-4420
(513) 891-7265
(513) 745-4512
Mailing address
10495 MONTGOMERY RD STE 26, CINCINNATI, OH 45242-4420
(513) 891-7265
(513) 745-4512
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35018919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7950758
—
OH
Enumeration date
01/09/2007
Last updated
10/31/2007
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