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Individual

ERNEST E. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 582-8290
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
01024824
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100129850
IN
Enumeration date
11/14/2006
Last updated
04/27/2016
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