MEDICARE: ERIC M THUNEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35.133079	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245684000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC M THUNEY MD

Provider Business Mailing Address
First Line	:	4441 FAR HILLS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2405
Country	:	US
Telephone Number	:	937-298-7351
Fax Number	:	937-298-9458

Provider Business Practice Location Address
First Line	:	4441 FAR HILLS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2405
Country	:	US
Telephone Number	:	937-298-7351
Fax Number	:	937-298-9458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2016
Last Update Date	:	11/19/2020

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Directions to “ ERIC M THUNEY MD” Practice Location

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