Organization
TIMOTHY W SMITH DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY W SMITH DO (OWNER)
(513) 742-1777
Entity
Organization
Contact information
Practice address
289 A NORTHLAND BLVD, CINCINNATI, OH 45246-3679
(513) 742-1777
(513) 742-2392
Mailing address
289 A NORTHLAND BLVD, CINCINNATI, OH 45246-3679
(513) 742-1777
(513) 742-2392
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844953
—
OH
01
—
DB6248
RAILROAD MEDICARE
OH
Enumeration date
01/03/2007
Last updated
12/18/2008
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