Individual
DR. RANDALL J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6345 S EAST ST, #A, INDIANAPOLIS, IN 46227-7107
(317) 783-7474
Mailing address
6750 SPIRIT LAKE DR, SUITE 401, INDIANAPOLIS, IN 46220-7132
(317) 253-1291
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01025491B
IN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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