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Individual

DONALD JAMES GAYDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7001
(513) 603-8174
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
34.004731
OH
207Q00000X
Family Medicine Physician
34004731G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000316415
BCBS FAIRFIELD
OH
01
000000317059
ANTHEM/BCBS
OH
05
0760136
OH
Enumeration date
05/13/2006
Last updated
05/08/2015
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