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Organization

DAVID J. DUNCH, M. D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID J DUNCH M. D. (PROPRIETOR)
(330) 757-8425
Entity
Organization

Contact information

Practice address
250 DEBARTOLO PL, SUITE 1640, YOUNGSTOWN, OH 44512-7004
(330) 726-2602
(330) 726-2653
Mailing address
250 DEBARTOLO PL, SUITE 1640, YOUNGSTOWN, OH 44512-7004
(330) 757-8425
(330) 726-2602

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35 051938
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000140049
ANTHEM BC BS PIN NUMBER
OH
05
0593424
OH
01
14-0007
MEDICARE UNITED HEALTHCAR
OH
01
169380393002
MEDICAL MUTUAL
OH
01
2800000614
MEDICARE RAILROAD
OH
Enumeration date
04/03/2007
Last updated
04/23/2012
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