Individual
NANCY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34.050625
OH
2084P0800X
Psychiatry Physician
3405625
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0938258
—
OH
Enumeration date
07/24/2006
Last updated
05/23/2025
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