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Individual

DR. MARY LYNN BUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1108 NORTHVIEW DR STE 1, HILLSBORO, OH 45133
(937) 393-5781
(937) 393-5784
Mailing address
1919 STATE ST, SUITE 362, NEW ALBANY, IN 47150-4929
(812) 944-5888

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01037496A
IN
208000000X
Pediatrics Physician
26544
KY
208000000X
Pediatrics Physician
Primary
35.134104
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0297624
OH
05
200454960A
IN
05
64265440
KY
Enumeration date
03/03/2006
Last updated
10/03/2024
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