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Individual

DAVID PAUL BAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 228-3335
(419) 226-5113
Mailing address
3927 S ASHLEAF LN, BEAVERCREEK, OH 45440-5105
(937) 426-0029

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
053666
GA
207P00000X
Emergency Medicine Physician
Primary
34.007602
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000527458
ANTHEM BCBS
OH
05
2262171
OH
05
447822139B
GA
Enumeration date
06/13/2006
Last updated
08/10/2009
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