Individual
DR. THOMAS G SMITH
Active
Individual
DR. THOMAS G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35036379
OH
2080A0000X
Pediatric Adolescent Medicine Physician
35036379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322001
—
OH
Enumeration date
06/06/2006
Last updated
05/21/2008
Update your record
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