Individual
CHRISTY CAMPBELL SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1108 VESTER AVE, SPRINGFIELD, OH 45503-1302
(937) 399-7100
(937) 399-7355
Mailing address
1108 VESTER AVE, SPRINGFIELD, OH 45503-1302
(937) 399-7100
(937) 399-7355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34009405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053350
—
OH
01
—
4291301
MEDICARE PTAN
—
Enumeration date
05/09/2007
Last updated
10/07/2020
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