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Individual

ROBERT A UPTMOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
630 EATON AVE, HAMILTON, OH 45013-2767
(513) 867-2270
(513) 867-2581
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01068889
IN
207P00000X
Emergency Medicine Physician
35044935U
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000317078
BCBS
OH
01
000000384825
BCBS UPPER VALLEY
05
036112487-1
IL
05
0570832
OH
05
201031270
IN
01
P00190960
RAIL ROAD MEDICARE
01
P00224120
RR MEDICARE HEARTLAND
Enumeration date
06/07/2006
Last updated
02/06/2013
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