Doctor Name: | EUGENE P DURBIN |
NPI Number: | 1225019474 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35-054602 |
Business Practice Address: | 75 Remittance Dr Chicago, IL - 606756508 |
Business Phone Number: | 6144422400 |
Business Fax Number: | 6144422403 |
Mailing Address: | 110 N Poplar St, OXFORD |
State: | OH |
Postal Code: | 450561204 |
Phone Number: | 5135232111 |
Fax Number: | 5135240144 |
NPI Enumeration Date: | 11/07/2005 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-054602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |