Individual
ERIN ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WYOMING ST, SUITE 3272, DAYTON, OH 45409
(937) 208-6790
(937) 208-6797
Mailing address
1 WYOMING ST, SUITE 3272, DAYTON, OH 45409-2722
(937) 208-6790
(937) 208-6797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50003045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095275
—
OH
01
—
50003045
LICENSE
OH
Enumeration date
03/12/2010
Last updated
05/29/2018
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