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Individual

MATTHEW CHRISTOPHER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2350 MIAMI VALLEY DR STE 500, CENTERVILLE, OH 45459-4780
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE STE 200, DAYTON, OH 45414-2855
(937) 280-8400
(372) 808-3739

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
01083868A
IN
208800000X
Urology Physician
Primary
35.143729
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0410882
OH
05
201326730
IN
Enumeration date
07/17/2015
Last updated
01/31/2022
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