Healthcare Provider Details

I. General information

NPI: 1669429478
Provider Name (Legal Business Name): PAMELA DAUFEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 N BREIEL BLVD
MIDDLETOWN OH
45042-3807
US

IV. Provider business mailing address

3420 ATRIUM BLVD STE 102
MIDDLETOWN OH
45005-5186
US

V. Phone/Fax

Practice location:
  • Phone: 513-318-1188
  • Fax: 513-318-1189
Mailing address:
  • Phone: 513-318-1188
  • Fax: 513-318-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.064515
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: