Olivia Smith-blackwell MD

NPI 1023075918 - Family Medicine - 207Q00000X

NPI Details
NPI 1023075918
Gender Female
Enumeration Date 04/26/2006
Last Updated 07/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
601 DIVISION ST
NORTH TONAWANDA NY, 14120-4461, US
Phone (716) 693-0118
Fax (716) 693-4807
Business Location
601 DIVISION ST
NORTH TONAWANDA NY, 14120-4461, US
Phone (716) 693-0118
Fax (716) 693-4807
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 144179
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According to our database, Olivia Smith-blackwell MD NPI is 1023075918, taxonomy code is 207Q00000X and license number is 144179, license state is located at New York. Olivia Smith-blackwell MD physically located at 601 Division St, North Tonawanda NY, 14120-4461. NPI Number Olivia Smith-blackwell MD has the Individual type.

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1023075918 NPI number is provided on an as is basis without warranty of any kind. 1023075918 is maintained by the National Plan & Provider Enumeration System. The contents of Olivia Smith-blackwell MD are for informational purposes only.