Organization
DIGESTIVE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA K SMITH (CREDENTIALING SPECIALISTS)
(937) 293-4424
Entity
Organization
Contact information
Practice address
4940 COTTONVILLE RD, JAMESTOWN, OH 45335-1522
(937) 293-4424
(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
—
PENDING
—
OH
Enumeration date
10/22/2009
Last updated
10/22/2009
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