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Individual
DAVID S SMITH
Active
Individual
DAVID S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07001348A
LICENSE
—
01
—
1102504130
ANTHEM PTAN
IN
05
—
300003106
—
IN
Enumeration date
04/13/2017
Last updated
01/06/2025
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