Healthcare Provider Details

I. General information

NPI: 1851397285
Provider Name (Legal Business Name): ROBERT A SCHRIBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date: 03/21/2006
Reactivation Date: 03/27/2006

III. Provider practice location address

130 W 2ND ST STE 1430
DAYTON OH
45402-1502
US

IV. Provider business mailing address

130 W 2ND ST STE 1430
DAYTON OH
45402-1502
US

V. Phone/Fax

Practice location:
  • Phone: 937-223-4012
  • Fax: 937-223-9792
Mailing address:
  • Phone: 937-223-4012
  • Fax: 937-223-9792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number31889
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: