Individual provider · Type 1 NPI

Randy Smith, DO

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1134574098 Active

Practice location

627 S Edwin C Moses Blvd
Dayton, OH 45417-3461

Call (937) 223-8840 Map

Fax (937) 223-0758

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134574098

Randy Smith, DO's National Provider Identifier is 1134574098, issued on Apr 28, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Apr 28, 2016.