Individual
CHRISTIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18181 PEARL RD STE B104, STRONGSVILLE, OH 44136-6950
(440) 409-7949
Mailing address
6311 NW 47TH CT, CORAL SPRINGS, FL 33067-2146
(954) 864-0409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005777RX
OH
Other
Enumeration date
11/05/2018
Last updated
01/11/2021
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