Individual
DR. DANIEL DOUGLAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01083651A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
K6336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029831701
—
TX
05
—
029831702
—
TX
01
—
8N2614
BCBS
TX
Enumeration date
10/17/2005
Last updated
02/17/2021
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