Provider Demographics
NPI:1386698611
Name:POLITE, ROBERT C (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:POLITE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-0610
Mailing Address - Country:US
Mailing Address - Phone:614-476-2272
Mailing Address - Fax:614-476-2282
Practice Address - Street 1:68 N HIGH ST
Practice Address - Street 2:BUILDING A, SUITE 150
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8915
Practice Address - Country:US
Practice Address - Phone:614-855-1115
Practice Address - Fax:614-855-9363
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2016-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34-007857207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine