Individual
MR. PHILLIP T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 N BROOKWOOD AVE, HAMILTON, OH 45013
(513) 805-4499
(513) 805-4499
Mailing address
1 N BROOKWOOD AVE, HAMILTON, OH 45013
(513) 805-4499
(513) 805-4498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003797RX
OH
363A00000X
Physician Assistant
PA074
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090172
—
OH
Enumeration date
12/27/2005
Last updated
09/06/2018
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