Organization
SAMARITAN OB GYN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRAIG WILLIAM SMITH M.D. (PRESIDENT)
(513) 559-9411
Entity
Organization
Contact information
Practice address
1149 STONE DR, SUITE 100, HARRISON, OH 45030-2763
(513) 559-9411
(513) 559-0419
Mailing address
3219 CLIFTON AVE, SUITE 230, CINCINNATI, OH 45220-3027
(513) 559-9411
(513) 559-0419
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220666
—
OH
01
—
36D0899783
CLIA PPMP
OH
Enumeration date
08/17/2006
Last updated
09/25/2009
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