Individual
DR. EDMUND CONNOR SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
78 MILL ST, GAHANNA, OH 43230-3012
(614) 337-1015
Mailing address
78 MILL ST, GAHANNA, OH 43230-3012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006781
OH
Other
Enumeration date
05/06/2019
Last updated
05/20/2019
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