Individual
GERALD C SMIDEBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6770
Mailing address
5475 RINGS RD STE 300, DUBLIN, OH 43017-7537
(614) 210-1885
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35064631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925806
—
OH
Enumeration date
02/07/2006
Last updated
03/07/2023
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