Individual
ROBERT NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8839
Mailing address
2024 S BALDWIN UNIT 165, MESA, AZ 85209-1712
(480) 206-7914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A-2077-17
NM
Other
Enumeration date
04/24/2014
Last updated
08/23/2017
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