Individual
DR. MATTHEW P DOEPKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 MIAMI VALLEY DR STE 350, CENTERVILLE, OH 45459-1294
(937) 424-2469
(937) 424-2479
Mailing address
2300 MIAMI VALLEY DR STE 350, CENTERVILLE, OH 45459-1294
(937) 424-2469
(937) 424-2479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
39255
SC
2086X0206X
Surgical Oncology Physician
Primary
35.134802
OH
2086X0206X
Surgical Oncology Physician
39255
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316031
—
OH
01
—
39255
LICENSE
SC
05
—
392550
—
SC
Enumeration date
06/14/2011
Last updated
11/12/2019
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