Provider Demographics
NPI:1114910254
Name:DILLING, DUANE PAUL (DO)
Entity Type:Individual
Prefix:
First Name:DUANE
Middle Name:PAUL
Last Name:DILLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:2230 WOODBURY PIKE
Mailing Address - City:LOYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16659-0158
Mailing Address - Country:US
Mailing Address - Phone:814-766-3485
Mailing Address - Fax:814-766-2379
Practice Address - Street 1:2230 WOODBURY PIKE
Practice Address - Street 2:
Practice Address - City:LOYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16659-9506
Practice Address - Country:US
Practice Address - Phone:814-766-3485
Practice Address - Fax:814-766-2379
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005846L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001103497Medicaid
PAD1476135OtherHIGHMARK
PA080011436OtherRR MEDICARE
PA10506W420OtherGEISINGER
PA205001OtherUPMC
PA28767OtherHEALTH AM/HEALTH ASSUR
PA476135OtherPREFERRED/AMERI HEALTH
D98803Medicare UPIN
PA10506W420OtherGEISINGER