Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVIN IZAAK SMITH
Active Sole ProprietorGAVIN IZAAK SMITH is a Foot & Ankle Surgery healthcare provider located in CREOLA, Ohio. NPI 1558063123 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · CREOLA, OH
Registration Details
- NPI Number
- 1558063123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2023 (3.4262766106233 yrs)
- Last Updated
- Mar 20, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
64500 STATE ROUTE 56CREOLA, OH, 456229006Browse OH providers · Browse ZIP 45622
- Phone
- 7402488172
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.