Individual
CRAIG DUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(800) 514-1494
Mailing address
6400 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8768
(866) 638-5931
(904) 805-1456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34007616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000538851
BCBS FOR UPPERVALLEY
OH
05
—
2338769
—
OH
Enumeration date
08/15/2006
Last updated
07/03/2008
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