Individual
SHANE TODD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
725 ROTHROCK DR, GALLOWAY, OH 43119-8692
(614) 266-2744
Mailing address
725 ROTHROCK DR, GALLOWAY, OH 43119-8692
(614) 266-2744
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN-342389
OH
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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