Individual
DR. RICHARD R ROEBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 DAYTON ST, HAMILTON, OH 45011-1633
(513) 844-2200
(513) 844-2266
Mailing address
1945 CEI DRIVE, CINCINNATI, OH 45242-3311
(513) 984-5133
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35042207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021174
BCBS FACET NUMBER
OH
05
—
2055207
—
OH
05
—
64958788
—
KY
Enumeration date
10/04/2005
Last updated
12/18/2007
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