Individual
BROOKE ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
3419 SUNSET DR, COLUMBUS, OH 43221-1711
(614) 600-7742
Mailing address
3419 SUNSET DR, COLUMBUS, OH 43221-1711
(614) 600-7742
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
50.009984RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
01/15/2026
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