SearchOhio363A00000X

Jared Blackmore, PA-C

NPI 1649559014 · on the registry since 2011

Practice

Address
10506a Montgomery Rd
Montgomery, OH 45242
Phone
(513) 865-5120
Fax
(513) 865-9875
Clinicians at this address
44

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio