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NPI Code Detail

MEDICARE: RICHARD SMILLIE M.D.

MEDICARE: RICHARD SMILLIE 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
12085B0100XBody Imaging Physician4301098671MI
22085R0202XDiagnostic Radiology Physician4301098671MI
32085B0100XBody Imaging Physician35.130542OH

General Provider Information

NPI Number : 1821385485
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD SMILLIE M.D.
Provider Business Mailing Address
First Line : 100 E CAMPUS VIEW BLVD
Second Line : SUITE 100
City : COLUMBUS
State : OH
Zip : 43235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 E CAMPUS VIEW BLVD STE 100
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-8628
Country : US
Telephone Number : 614-340-7747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2011
Last Update Date : 03/17/2018

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Directions to “ RICHARD SMILLIE M.D.” Practice Location

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