Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 35. 058256 | OH |
NPI | 1033221635 |
---|---|
Provider Name | Dr. Melinda K Smith |
First Address | Poland, OH 44514-3359 |
Second Address | Poland, OH 44514-3359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |