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Individual

ROBERT J. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
360 W CENTRAL AVE, SPRINGBORO, OH 45066-1106
(937) 208-7100
(937) 208-7125
Mailing address
360 W CENTRAL AVE, SPRINGBORO, OH 45066-1106
(937) 208-7100
(937) 208-7125

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34.003325
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0649098
OH
Enumeration date
06/06/2006
Last updated
11/13/2013
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