Individual
JUSTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7199 EASY ST, FISHERS, IN 46038-2641
(317) 415-6110
Mailing address
7199 EASY ST, FISHERS, IN 46038-2641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01070154A
IN
Other
Enumeration date
07/08/2008
Last updated
08/10/2022
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