# DAVID ALLEN SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962405993
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 01040403A | IN | — |
| 2086S0120X | Pediatric Surgery Physician | 01040403A | IN | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 03/31/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104683309 | — | MI |
| 05 | — | 200049180 | — | IN |
| 05 | — | 2080877 | — | OH |