Jtdm Family Practice LLC
NPI #1750937090 in Saint Marys, Ohio
Provider Information
- NPI Number
- 1750937090
- Entity Type
- Organization
- Organization Name
- Jtdm Family Practice LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 13, 2019
- Last Updated
- Feb 6, 2024
Practice Location
- Address
- 1013 E SPRING ST
- City
- Saint Marys
- State
- Ohio
- ZIP Code
- 45885-2447
- Phone
- (419) 394-8664
Authorized Official
- Name
- TRICIA A POHL
- Title
- CFO
- Phone
- (419) 394-3335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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