NPI 1225201049

Jeremy Shawn Standridge, DO

Practitioner Occupational Medicine Physician Cincinnati, OH

Practice location

Address: 4623 Wesley Ave Suite C, Cincinnati, OH 45212-2246
Phone: (513) 841-1122
Mailing address: 3503 Brentwood Ave, Cincinnati, OH 45208-1712

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 008898 (OH)

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Registry record

NPI: 1225201049
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2008
Record last updated: 13 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.