Individual
DR. ETHEL EA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, RK30, CLEVELAND, OH 44195-0001
(216) 636-8742
(216) 636-7877
Mailing address
6801 BRECKSVILLE RD, SUITE 10, INDEPENDENCE, OH 44131-5032
(216) 636-8742
(216) 636-7877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35071076
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35071076S
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
35071076S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283465
—
OH
Enumeration date
06/09/2006
Last updated
11/22/2010
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