Individual
DR. ANNETTE RAQUEL NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER WAY, SPRINGFIELD REGIONAL MEDICAL CENTER, SPRINGFIELD, OH 45505
(937) 523-1401
(937) 523-1950
Mailing address
2699 KILKENNY CT, SPRINGFIELD, OH 45503-1164
(937) 390-0971
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.064717
OH
207P00000X
Emergency Medicine Physician
Primary
3564717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000017028
ANTHEM
OH
05
—
0924914
—
OH
Enumeration date
04/12/2006
Last updated
09/06/2013
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