Samuel Jack Shroder, OD

NPI #1124982368 in Fairborn, Ohio

Provider Information

NPI Number
1124982368
Entity Type
Individual
Name
Samuel Jack Shroder, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
OD
Enumeration Date
Dec 11, 2025
Last Updated
Dec 11, 2025

Practice Location

Address
1790 COMMERCE CENTER BLVD
State
Ohio
ZIP Code
45324-6358
Phone
(937) 878-3941

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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