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Individual

MR. DAVID BRENT WIRTH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.A., M.S.

Contact information

Practice address
4881 SUGAR MAPLE DR, 88 MDG SGOS/SGCXL, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 787-9280
Mailing address
2424 OAKBROOK BLVD, BEAVERCREEK, OH 45434-7097
(937) 255-5227
(937) 656-7617

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
28
IA

Other

Enumeration date
12/30/2005
Last updated
07/08/2007
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