| NPI | 1720173511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE SMITH Osteopathic Physician 740-397-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 2461) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |