Individual
DENNIS A. DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGIST
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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