| Timothy W Smith Do Llc | |
|
289 Northland Blvd Suite A Cincinnati OH 45246-3679 | |
| (513) 742-1777 | |
| (888) 577-7659 |
| Full Name | Timothy W Smith Do Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 289 Northland Blvd, Cincinnati, Ohio |
| Authorized Official Name and Position | Timothy William Smith (SOLE OWNER) |
| Authorized Official Contact | 5137421777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy W Smith Do Llc 289 Northland Blvd Suite A Cincinnati OH 45246-3679 Ph: (513) 742-1777 | Timothy W Smith Do Llc 289 Northland Blvd Suite A Cincinnati OH 45246-3679 Ph: (513) 742-1777 |
| NPI Number | 1447550926 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 10/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447550926 | NPI | - | NPPES |
| 0713768 | Medicaid | OH | |
| SM0637965 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 34004608 (Ohio) | Primary |
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