Individual
DANIELLE SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5457
Mailing address
6732 E COUNTY ROAD 900 N, BROWNSBURG, IN 46112-8267
(317) 442-7413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
06/23/2021
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