Individual
DENNIS A. DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGIST
Contact information
Practice address
770 W HIGH ST, SUITE 460, LIMA, OH 45801-3990
(419) 226-4300
(419) 226-4305
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(419) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-01317
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANTHEM BLUE CROSS
000000341601
OH
Enumeration date
01/02/2007
Last updated
03/20/2012
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