Individual
HARRISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 BENNETT DR STE B, WARREN, IN 46792-9273
(260) 375-3670
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004157A
IN
Other
Enumeration date
07/12/2023
Last updated
05/05/2026
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