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Individual

CHRISTOPHER BRAD DUPUY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1000 MCKINLEY PARK DR, MARION, OH 43302-6399
(740) 383-8700
(937) 619-4150
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.010373
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/15/2009
Last updated
12/27/2012
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