Organization
RANDALL H SMITH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL HOWARD SMITH M.D. (PRESIDENT)
(330) 678-5447
Entity
Organization
Contact information
Practice address
1930 STATE ROUTE 59, KENT, OH 44240-4112
(330) 678-5447
(330) 678-5638
Mailing address
1930 STATE ROUTE 59, KENT, OH 44240-4112
(330) 678-5447
(330) 678-5638
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
045481
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298128
—
OH
Enumeration date
10/25/2007
Last updated
10/25/2007
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