Individual
DR. MARK A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4236
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4236
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-047333
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004428
ANTHEM
OH
01
—
004013993
AETNA
OH
05
—
0597966
—
OH
Enumeration date
10/31/2005
Last updated
01/04/2017
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