Individual
DR. BLAKE ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3113 BELLEVUE AVE FL 3, CINCINNATI, OH 45219-3158
(513) 475-8730
(513) 475-8033
Mailing address
3113 BELLEVUE AVE FL 3, CINCINNATI, OH 45219-3158
(513) 475-8730
(513) 475-8033
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01073180A
IN
2084N0400X
Neurology Physician
Primary
35121619
OH
2084N0400X
Neurology Physician
46546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104892
—
OH
05
—
7100305370
—
KY
01
—
P01347060
RR MEDICARE
—
Enumeration date
05/19/2009
Last updated
11/08/2023
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