Individual
DR. TIMOTHY W. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
289 A NORTHLAND BLVD, CINCINNATI, OH 45246-3679
(513) 742-1777
(513) 742-2392
Mailing address
289 A NORTHLAND BLVD, CINCINNATI, OH 45246-3679
(513) 742-1777
(513) 742-2392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34004608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713768
—
OH
Enumeration date
08/24/2005
Last updated
06/30/2008
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