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Individual

DR. RYAN M. GOBBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7690 DISCOVERY DR, WEST CHESTER, OH 45069-6542
(513) 475-8881
(513) 475-8880
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
L250881
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35.126384
OH
390200000X
Student in an Organized Health Care Education/Training Program
250881
MA

Other

Enumeration date
03/24/2008
Last updated
03/09/2018
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