Individual
STEVEN SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5511 DRUM RD, INDIANAPOLIS, IN 46216-2048
(317) 509-6037
Mailing address
5511 DRUM RD, INDIANAPOLIS, IN 46216-2048
(317) 509-6037
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0800070203
IN
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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