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Individual
ROGER SMITH
Active
Individual
ROGER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-03-4587-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008340
ANTHEM
OH
05
—
0202015
—
OH
05
—
200000580A
—
IN
05
—
64862014
—
KY
Enumeration date
07/25/2006
Last updated
09/20/2026
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