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Individual

JERRY W SMARTT JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9640 COMMERCE DR, SUITE 412, CARMEL, IN 46032-7640
(317) 872-4545
(317) 872-3959
Mailing address
9640 COMMERCE DR, SUITE 412, CARMEL, IN 46032-7640
(317) 872-4545
(317) 872-3959

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01058330A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200506690
IN
Enumeration date
07/28/2006
Last updated
01/17/2013
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