Individual
ALEXANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2030 CHURCHMAN AVE, BEECH GROVE, IN 46107-1044
(317) 786-9285
(317) 781-2109
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004183A
IN
Other
Enumeration date
09/19/2023
Last updated
11/08/2023
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