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Individual

MELINDA SUE DUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3130 N COUNTY ROAD 25A, SUITE 214, TROY, OH 45373-1337
(937) 332-8777
(937) 332-8773
Mailing address
3130 N COUNTY ROAD 25A, SUITE 214, TROY, OH 45373-1337
(937) 332-8777
(937) 332-8773

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.001913
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0067779
OH
05
240840
OH
Enumeration date
08/12/2005
Last updated
02/17/2016
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