Healthcare Provider Details

I. General information

NPI: 1508847138
Provider Name (Legal Business Name): JOSEPH M DURKALSKI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL DR STE 201
BARNESVILLE OH
43713-2000
US

IV. Provider business mailing address

66840 BELMONT MORRISTOWN RD
BELMONT OH
43718-9665
US

V. Phone/Fax

Practice location:
  • Phone: 740-425-5150
  • Fax:
Mailing address:
  • Phone: 740-782-1031
  • Fax: 740-782-1180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34005906
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: