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Individual
DAVID R SMITH
Active
Individual
DAVID R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
350601885
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118426
ANTHEM
OH
01
—
0751002
PALMETTO MEDICARE
—
01
—
0800476
UHC
—
05
—
0974549
—
OH
01
—
180018458
TRAVELERS MEDICARE
—
01
—
353077
SUBMITTER NO
—
01
—
650180
AETNA
—
Enumeration date
05/05/2006
Last updated
10/07/2014
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