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Individual

ROBERT E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3080 ACKERMAN BLVD, STE 100, KETTERING, OH 45429-3555
(937) 396-1605
(937) 396-1607
Mailing address
3080 ACKERMAN BLVD, STE 100, KETTERING, OH 45429-3555
(937) 396-1605
(937) 396-1607

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35-05-0481
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0552245
OH
Enumeration date
10/10/2006
Last updated
01/30/2009
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