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Individual

DR. ERNEST A. SMOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12100 SUPERIOR AVE, CLEVELAND, OH 44106-1444
(216) 851-2600
Mailing address
12100 SUPERIOR AVE, CLEVELAND, OH 44106-1444
(216) 851-2600

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35068599
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154952
OH
Enumeration date
10/03/2006
Last updated
11/19/2015
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