Individual
DAVID E HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 DAYTON ST, SUITE 200, YELLOW SPRINGS, OH 45387-1777
(937) 767-7291
(937) 767-1302
Mailing address
888 DAYTON ST, SUITE 200, YELLOW SPRINGS, OH 45387-1777
(937) 767-7291
(937) 767-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055374
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025871
ANTHEM
OH
05
—
0680222
—
OH
Enumeration date
07/22/2005
Last updated
11/13/2015
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