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Individual

JAMES PATRICK STITH II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7001
(513) 603-8174
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000996
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00145490
RR MEDICARE FAIRFIELD
Enumeration date
05/17/2006
Last updated
10/18/2007
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