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Individual

STEVEN D SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1991
(317) 338-2345
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28190622A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71008101A
IN

Other

Enumeration date
08/09/2018
Last updated
03/09/2021
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