Provider Demographics
NPI:1699858688
Name:DRS. SMITH, SZABO, AND VALADE
Entity type:Organization
Organization Name:DRS. SMITH, SZABO, AND VALADE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-472-0083
Mailing Address - Street 1:3060 W SYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-4152
Mailing Address - Country:US
Mailing Address - Phone:419-472-0083
Mailing Address - Fax:419-472-6981
Practice Address - Street 1:3060 W SYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-4152
Practice Address - Country:US
Practice Address - Phone:419-472-0083
Practice Address - Fax:419-472-6981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty