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NPI Code Detail

MEDICARE: DAVID DIONISIO D.O.

MEDICARE: DAVID DIONISIO D.O.
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
1207Q00000XFamily Medicine Physician036.128575IL
2207Q00000XFamily Medicine Physician34.009651OH

General Provider Information

NPI Number : 1750589875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID DIONISIO D.O.
Provider Business Mailing Address
First Line : 477 COOPER RD STE 300
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8057
Country : US
Telephone Number : 380-898-8808
Fax Number : 380-898-8842
Provider Business Practice Location Address
First Line : 477 COOPER RD STE 300
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8057
Country : US
Telephone Number : 380-898-8808
Fax Number : 380-898-8842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 05/03/2022

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