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Individual

DR. STEVEN L DUMBAULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3219 CLIFTON AVE, #325, CINCINNATI, OH 45220-3027
(513) 861-0800
Mailing address
3219 CLIFTON AVE, #325, CINCINNATI, OH 45220-3027
(513) 861-0800
(513) 861-5111

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
22388
KY
207RN0300X
Nephrology Physician
Primary
35-039494
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0336943
OH
05
200070130
IN
05
64782287
KY
01
990013023
MEDICARE RAILROAD
OH
Enumeration date
06/15/2006
Last updated
11/02/2011
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