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Individual

SUMIKO S SARLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1891
(937) 278-2612
Mailing address
PO BOX 640446, CINCINNATI, OH 45264-0446
(937) 293-0247
(937) 293-0960

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35068711S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000112397
ANTHEM
OH
05
0152418
OH
01
050074986
RAILROAD MEDICARE
OH
Enumeration date
02/09/2006
Last updated
08/18/2008
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