Individual
THOMAS EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 462-3839
(419) 462-3840
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.014734
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419497
—
OH
Enumeration date
05/10/2011
Last updated
01/08/2021
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