Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 3160 | OH |
NPI | 1194768168 |
---|---|
Provider Name | Maggi H Smith |
First Address | Toledo, OH 43623-4231 |
Second Address | Toledo, OH 43623-4231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 04/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2223696 | (05) | OH |
U84423 | (02) | OH |