Robert Capello PA-C

NPI 1184721656 - Physician Assistant - 363AS0400X

NPI Details
NPI 1184721656
Gender Male
Enumeration Date 09/19/2006
Last Updated 04/26/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
3535 SOUTHERN BLVD
KETTERING OH, 45429-1221, US
Phone (937) 395-8166
Fax
Business Location
8280 YANKEE ST
CENTERVILLE OH, 45458-1806, US
Phone (937) 436-4658
Fax (920) 405-5388
Toxanomy
Taxonomy Code 363AS0400X
License State Illinois
License Number 085003171
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According to our database, Robert Capello PA-C NPI is 1184721656, taxonomy code is 363AS0400X and license number is 085003171, license state is located at Illinois. Robert Capello PA-C physically located at 3535 Southern Blvd, Kettering OH, 45429-1221. NPI Number Robert Capello PA-C has the Individual type.

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1184721656 NPI number is provided on an as is basis without warranty of any kind. 1184721656 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Capello PA-C are for informational purposes only.