Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 0024170679 | VA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.14374 | OH |
NPI | 1043615420 |
---|---|
Provider Name | Dr. Donald Todd Smith |
First Address | Pomeroy, OH 45769-9543 |
Second Address | Sidney, OH 45365-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2014 |
Last Update Date | 17/03/2018 |