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MR. JASON A DALIE RT(R)

Technologists, Technicians & Other Technical Service Providers Radiologic Technologist

Provider NPI: 1376859892

Provider Information:
MR. JASON A DALIE RT(R)
Gender: M
Not Sole Proprietor

Practice Location:
1416 HANES RD  BEAVERCREEK, OH 45434-6508 US
Tel: 937-408-8837  Fax: --

Business Mailing Address:
1416 HANES RD  BEAVERCREEK, OH 45434-6508 US
Tel: 937-408-8837  Fax: --

NPI Information:
NPI: 1376859892
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y247100000XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
OH460013

Other Provider Identifiers:

IssuerNumberStateType
ARRT460013OH01



American Medical Association 2012 taxonomy code information

Code: 247100000X

Type:

Classification:



Definition:



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