NPI 1881921062 · live from the CMS NPI Registry
Jeremy Christopher Mauldin, D.O.
Radiology, Diagnostic Radiology in Dayton, OH. National Provider Identifier 1881921062, active.
NPI record
| NPI | 1881921062 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1 Wyoming St, Dayton, OH 45409 |
| Practice phone | 937-208-3118 |
| Mailing address | Po Box 750243, Dayton, OH 45475 |
| Enumerated | November 10, 2009 |
| Last updated | June 5, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 34.011251 (OH) |
| Radiology, Diagnostic Radiology | 2085R0202X | 1871 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.