Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 30.025400 | OH |
Y | 213EG0000X | General Practice | 30.025400 | OH |
NPI | 1003305806 |
---|---|
Provider Name | Dr. Duke Tien Trinh |
First Address | Miamisburg, OH 45342-7407 |
Second Address | Belpre, OH 45714-2449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2018 |
Last Update Date | 07/05/2018 |