Individual
DAVID CORBETT DEWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4343 ALL SEASONS DR, STE 220, HILLIARD, OH 43026-1961
(614) 754-4110
(614) 754-4110
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.006965
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2637034
—
OH
Enumeration date
08/28/2006
Last updated
12/22/2021
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