Provider Demographics
NPI:1457339376
Name:DUNCH, DAVID J (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:DUNCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 DEBARTOLO PL
Mailing Address - Street 2:SUITE 1640
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-7004
Mailing Address - Country:US
Mailing Address - Phone:330-726-2602
Mailing Address - Fax:330-726-2653
Practice Address - Street 1:250 DEBARTOLO PL
Practice Address - Street 2:SUITE 1640
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-7004
Practice Address - Country:US
Practice Address - Phone:330-726-2602
Practice Address - Fax:330-726-2653
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2007-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35051938208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0593424Medicaid
000000140049OtherANTHEM BC BS
140007OtherMEDICARE UNITED HEALTHCAR
A16068Medicare UPIN
000000140049OtherANTHEM BC BS