Individual
DARREL HOTMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
582 HARMON RD, BLUFFTON, OH 45817-1069
(419) 369-4804
(419) 369-4805
Mailing address
226 LOCUST COURT, BLUFFTON, OH 45817-8534
(419) 369-4804
(419) 369-4805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116203
—
OH
01
—
343310
ANTHEM
OH
01
—
5797708
AETNA
OH
01
—
P00182718
RAILROAD MEDICARE
OH
Enumeration date
05/17/2006
Last updated
05/16/2014
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