Individual
ALAN F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1485
(812) 275-1369
Mailing address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1485
(812) 275-1369
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01024350
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000078357
ANTHEM PROVIDER #
IN
05
—
100166630A
—
IN
05
—
100387440A
—
IN
Enumeration date
09/08/2005
Last updated
07/03/2013
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