Jay L Smith, MD
in Bowling Green, OH. Individual provider (NPI-1).
NPI number1124079009
StatusActive
Last updated in NPPESDec 18, 2020
Details
- NPI
- 1124079009
- Entity type
- Individual (NPI-1)
- Name
- Jay L Smith
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2006
- Certification date
- Dec 18, 2020
- Last updated
- Dec 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | 35044006 | OH | Yes |
Practice location
1072 N Main StBowling Green Pain Clinic
Bowling Green, OH 43402
Phone 419-354-6166 · Fax 419-354-6756
Mailing address
5301 Nebraska AveToledo, OH 43615-4632
Phone 419-531-5544 · Fax 419-531-5117
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