Organization
WILLIAM O SMITH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA J BREWER (OFFICE MGR)
(937) 399-6619
Entity
Organization
Contact information
Practice address
2100 EMMANUEL WAY, SUITE A, SPRINGFIELD, OH 45502-7218
(937) 399-6619
(937) 399-3958
Mailing address
2100 EMMANUEL WAY, SUITE A, SPRINGFIELD, OH 45502-7217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35037402S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246264
—
OH
Enumeration date
09/25/2006
Last updated
05/22/2008
Update your record
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