Individual
CHRIS SMALLWOOD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6128 ST ANDREWS DR, CANFIELD, OH 44406
(330) 647-3137
(800) 304-3604
Mailing address
202 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1858
(330) 647-3137
(800) 304-3604
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2005483
OH
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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