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Individual

DR. RANDALL HOWARD SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1930 STATE ROUTE 59, SUITE D, KENT, OH 44240-4112
(330) 678-5447
(330) 678-5638
Mailing address
1930 STATE ROUTE 59, SUITE D, KENT, OH 44240-4112
(330) 678-5447
(330) 678-5638

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
045481
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0484104
OH
Enumeration date
04/03/2006
Last updated
07/08/2007
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