Organization
DIGESTIVE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA K SMITH (ADMIN ASSISTANT)
(937) 293-4424
Entity
Organization
Contact information
Practice address
1157 N MONROE DR STE 230, XENIA, OH 45385-1699
(937) 293-2169
(937) 395-3682
Mailing address
999 BRUBAKER DR, KETTERING, OH 45429-3588
(937) 293-4424
(937) 395-3682
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2861587
—
OH
Enumeration date
09/16/2008
Last updated
11/05/2008
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