Individual
DUANE R COPENHEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2857 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34-00-7429
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2326601
—
OH
01
—
4293151
CGS - MEDICARE
OH
Enumeration date
08/14/2006
Last updated
03/11/2026
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