IndividualActive
Jarom Jardine, DO
NPI 1043891575 · Pediatrics Physician · Kirtland Afb, NM
Provider details
- NPI number
- 1043891575
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 34.016257 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-1873
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2024-07-26
- Certified
- 2024-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.