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Individual

DR. BRUCE G HYMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4000 MIAMISBURG CENTERVILLE RD, SUITE 100, MIAMISBURG, OH 45342-7615
(937) 866-0637
(937) 866-6713
Mailing address
4000 MIAMISBURG CENTERVILLE RD, SUITE 100, MIAMISBURG, OH 45342-7615
(937) 866-0637
(937) 866-6713

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35036771
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000004404
ANTHEM BC/BS
OH
05
0422671
OH
Enumeration date
11/18/2005
Last updated
01/21/2021
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