Individual
DR. SHANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4800
Mailing address
PO BOX 750243, DAYTON, OH 45475-0243
(937) 709-5051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.084777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2767635
—
OH
Enumeration date
05/29/2007
Last updated
07/24/2024
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