Individual
JAY L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1072 N MAIN ST, BOWLING GREEN PAIN CLINIC, BOWLING GREEN, OH 43402
(419) 354-6166
(419) 354-6756
Mailing address
5301 NEBRASKA AVE, TOLEDO, OH 43615-4632
(419) 531-5544
(419) 531-5117
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
35044006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0547671
—
OH
Enumeration date
05/15/2006
Last updated
12/18/2020
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