Organization
SNIFFLES & SMILES PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J WILSON M.D (PRESIDENT)
(740) 695-9470
Entity
Organization
Contact information
Practice address
135 E MAIN ST, SAINT CLAIRSVILLE, OH 43950-1586
(740) 695-9470
(740) 695-3674
Mailing address
135 E MAIN ST, SAINT CLAIRSVILLE, OH 43950-1586
(740) 695-9470
(740) 695-3674
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35080667
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2302672
—
OH
Enumeration date
06/25/2006
Last updated
11/28/2007
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