Individual
DR. DAVID FERGUSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7640 SYLVANIA AVE, D1, SYLVANIA, OH 43560-9729
(419) 841-4099
(419) 841-8125
Mailing address
7640 SYLVANIA AVE, D1, SYLVANIA, OH 43560-9729
(419) 841-4099
(419) 841-8025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35065145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000051574
ANTHEM
—
05
—
2757977
—
OH
01
—
P00403185
RRMED
OH
Enumeration date
12/15/2005
Last updated
02/03/2011
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