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Individual

ROBERT EARL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1070 E STATE ST, SALEM, OH 44460-2200
(330) 332-5911
(330) 332-5979
Mailing address
2366 OAK ST, SALEM, OH 44460-2565
(330) 332-1230

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.001441
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0048193
OH
Enumeration date
07/28/2006
Last updated
07/08/2007
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