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Individual

RICHARD J DURBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7500
(740) 779-7875
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35053054D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000319937
BCBS
05
0790783
OH
01
P00082360
RAILROAD MEDICARE
Enumeration date
05/01/2006
Last updated
10/18/2007
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