Individual
DR. ETHAN ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVENUE, ML 5031, CINCINNATI, OH 45229-3026
(513) 636-4251
(513) 636-8145
Mailing address
3333 BURNET AVENUE, ML 5031, CINCINNATI, OH 45229-3026
(513) 636-4251
(513) 636-8145
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
35.095027
OH
2085P0229X
Pediatric Radiology Physician
50483
KY
2085R0202X
Diagnostic Radiology Physician
4301086310
MI
Other
Enumeration date
03/22/2007
Last updated
09/01/2023
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