Individual
DR. JILL SUZANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 S ROSENBERGER AVE STE B400, EVANSVILLE, IN 47712-6510
(812) 485-1566
Mailing address
100 S ROSENBERGER AVE STE B400, EVANSVILLE, IN 47712-6510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01066193A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200945890
—
IN
Enumeration date
02/06/2007
Last updated
08/10/2022
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