Individual
ROBERT BENNETT EPPES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 S GREEN RD, SUITE 158, SOUTH EUCLID, OH 44121-4128
(216) 382-9303
(216) 382-8380
Mailing address
1611 S GREEN RD, SUITE 158, SOUTH EUCLID, OH 44121-4128
(216) 382-9303
(216) 382-8380
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.028846
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130375
ANTHEM BLUE CROSS BLUE SH
OH
05
—
0115422
—
OH
Enumeration date
04/18/2006
Last updated
07/08/2007
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