Individual
MISS COURTNEY SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, E-19, CLEVELAND, OH 44195-0001
(216) 445-9132
Mailing address
9500 EUCLID AVE, E-19, CLEVELAND, OH 44195-0001
(216) 445-9132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51787
CO
207P00000X
Emergency Medicine Physician
IN PROGRESS
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023354
KAISER COMMERCIAL NUMBER
CO
05
—
58603760
—
CO
Enumeration date
04/29/2009
Last updated
11/16/2015
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