Organization
CC SMITH MD INC
Active
Other names
Claudet Smith MD
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDET C SMITH MD (MD)
(419) 621-5780
Entity
Organization
Contact information
Practice address
1200 PROSPECT ST, STE 200, SANDUSKY, OH 44870
(419) 621-5780
(419) 621-5791
Mailing address
1200 PROSPECT ST, STE 200, SANDUSKY, OH 44870
(419) 621-5780
(419) 621-5791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322103
ANTHEM BCBS
OH
05
—
2817643
—
OH
01
—
5380
PARAMOUNT
—
01
—
7679166
AETNA
—
01
—
DB4873
RAILROAD MEDICARE
—
Enumeration date
09/09/2005
Last updated
06/04/2008
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