Individual
DUANE DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3038 OLIVE RD, TROTWOOD, OH 45426-2640
(937) 208-7050
(937) 208-7031
Mailing address
3038 OLIVE RD, TROTWOOD, OH 45426-2640
(937) 208-7050
(937) 208-7031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.061901
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
35061901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804801
—
OH
05
—
0848015
—
OH
Enumeration date
06/05/2006
Last updated
12/28/2017
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