Individual
DR. COLLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HEALTHY PL, SUITE 101, PATASKALA, OH 43062-7067
(220) 564-1900
(220) 564-1901
Mailing address
1 HEALTHY PL, SUITE 101, PATASKALA, OH 43062-7067
(220) 564-1900
(220) 564-1901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-079346
OH
207Q00000X
Family Medicine Physician
35079346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2230722
—
OH
Enumeration date
07/15/2005
Last updated
03/24/2023
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