Individual
DR. OTTO R. DUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5350 LAMME RD, MORAINE, OH 45439-3215
(937) 534-4600
(937) 522-8799
Mailing address
1748 CEDAR RIDGE DR, SPRING VALLEY, OH 45370-9783
(937) 848-3729
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35066509
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264477
—
OH
01
—
H069190
MEDICARE PTAN
OH
01
—
PO1068644
MEDICARE RAILROAD
OH
Enumeration date
09/14/2005
Last updated
04/21/2026
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