Individual
RUSSELL DALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
(513) 686-3000
Mailing address
2017 LAUREL OAK, AMELIA, OH 45102-1496
(937) 561-1778
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020801
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2023
Last updated
10/24/2024
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