Individual
ANGELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
405 COURTRIGHT DRIVE, PICKERINGTON, OH 43147
(614) 833-9900
(614) 837-9823
Mailing address
PO BOX 951603, CLEVELAND, OH 44193
(614) 546-4400
(614) 546-4441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-00-6723-S
OH
207Q00000X
Family Medicine Physician
Primary
34006723
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066320
—
OH
Enumeration date
06/12/2006
Last updated
06/19/2008
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