Individual
BETH E DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 SUGAR CAMP CIR, SUITE 140, OAKWOOD, OH 45409-1962
(937) 395-3622
(937) 395-3646
Mailing address
105 SUGAR CAMP CIR, SUITE 140, OAKWOOD, OH 45409-1962
(937) 395-3622
(937) 395-3646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.067958
OH
208000000X
Pediatrics Physician
35.067958
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227025
—
OH
Enumeration date
12/28/2005
Last updated
01/22/2015
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