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Individual

RICHARD R CAPONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
967 BELLEFONTAINE AVE, SUITE 201, LIMA, OH 45804-2888
(419) 996-5077
(419) 996-5483
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5015

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35040586
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000349631
ANTHEM B.C.
OH
05
0334196
OH
Enumeration date
07/19/2006
Last updated
08/26/2015
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