Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN DUFFY DEWALT, D.O.
Active Sole ProprietorDR. JOHN DUFFY DEWALT, D.O. is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in LOGAN, Ohio. NPI 1508869702 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · LOGAN, OH
Registration Details
- NPI Number
- 1508869702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (21.270924795158 yrs)
- Last Updated
- Jan 13, 2016
- License
-
34002686D (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
144 EAST MAIN STREETLOGAN, OH, 43138Browse OH providers · Browse ZIP 43138
- Phone
- 7403851881
- Fax
- 7403851875
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.