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NPI Code Detail

MEDICARE: CHRISTY CAMPBELL SMALLEY D.O.

MEDICARE: CHRISTY CAMPBELL SMALLEY D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician34009405OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14291301OTHERMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255545141
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY CAMPBELL SMALLEY D.O.
Provider Business Mailing Address
First Line : 1108 VESTER AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-1302
Country : US
Telephone Number : 937-399-7100
Fax Number : 937-399-7355
Provider Business Practice Location Address
First Line : 1108 VESTER AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-1302
Country : US
Telephone Number : 937-399-7100
Fax Number : 937-399-7355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 10/07/2020

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