Matthew Dupont, PA-C
Physician Assistant in Fairfield, OH. Individual provider (NPI-1).
NPI number1982305967
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1982305967
- Entity type
- Individual (NPI-1)
- Name
- Matthew Dupont
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2023
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.008064RX | OH | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
3000 Mack Rd Ste 100Fairfield, OH 45014-5335
Phone 513-751-4222
Mailing address
3000 Mack Rd Ste 100Fairfield, OH 45014-5335
Phone 513-751-4222
Other practice locations
7335 Yankee Rd Ste 101
Liberty Township, OH 45044-0008
Liberty Township, OH 45044-0008
Phone 888-982-9227 · Fax 877-449-0702
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