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Individual

ALEC SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 384-7188
Mailing address
1254 CLEMENT DR, COLUMBUS, OH 43085-1577
(614) 301-5391

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.423508
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
143326
OH

Other

Enumeration date
01/25/2023
Last updated
12/31/2023
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