Individual
JASON ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 MEDICAL CENTER PKWY, MAUMEE, OH 43537-1921
(419) 794-2593
(419) 517-8188
Mailing address
2200 JEFFERSON AVE, 5TH FL, TOLEDO, OH 43604-7101
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34009703
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
5101022929
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0102203247
VA
Other
Enumeration date
07/03/2008
Last updated
10/10/2023
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