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NPI Code Detail

MEDICARE: PHILIP JOHN SMELCER M.D.

MEDICARE:   PHILIP JOHN SMELCER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician35.093540OH

General Provider Information

NPI Number : 1780864140
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP JOHN SMELCER M.D.
Provider Business Mailing Address
First Line : 121 NORTHWEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-1809
Country : US
Telephone Number : 330-633-1350
Fax Number :
Provider Business Practice Location Address
First Line : 121 NORTHWEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-1809
Country : US
Telephone Number : 330-633-1350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2007
Last Update Date : 06/11/2009

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Directions to “ PHILIP JOHN SMELCER M.D.” Practice Location

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