Individual
CYNTHIA R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 ELVA CT, VANDALIA, OH 45377-1875
(937) 208-7501
(937) 208-7515
Mailing address
55 ELVA CT, VANDALIA, OH 45377-1875
(937) 208-7501
(937) 208-7515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-04-5404-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462708
—
OH
Enumeration date
06/07/2006
Last updated
06/24/2011
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