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Organization

JAY L. SMITH MD

Active
Other names
Bowling Green Pain Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY L. SMITH MD (OWNER)
(419) 354-6166
Entity
Organization

Contact information

Practice address
1072 N MAIN ST, BOWLING GREEN, OH 43402-1346
(419) 354-6166
(419) 354-6756
Mailing address
1072 N MAIN ST, BOWLING GREEN, OH 43402-1346
(419) 354-6166
(419) 354-6756

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2197
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35-04-4006
OH

Other

Enumeration date
11/29/2007
Last updated
03/16/2012
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