Individual
RICHARD LEROY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2196
(313) 745-1892
Mailing address
2222 CHERRY ST STE 2300, TOLEDO, OH 43608-2675
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301508897
MI
2084N0400X
Neurology Physician
35.151934
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35.151934
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
4301508897
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095060
—
OH
Enumeration date
04/17/2018
Last updated
02/03/2025
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