Jared Blackmore, PA-C

NPI #1649559014 in Montgomery, Ohio

Provider Information

NPI Number: 1649559014
Entity Type: Individual
Name: Jared Blackmore, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 16, 2011
Last Updated: May 31, 2023

Practice Location

Address: 10506A MONTGOMERY RD
City: Montgomery
State: Ohio
ZIP Code: 45242-4402
Phone: (513) 865-5120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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