Individual
DR. JODI L SMITH
Active
Individual
DR. JODI L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01052779A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000640757
ANTHEM BLUE CROSS AND BLUE SHIELD
IN
Enumeration date
05/27/2005
Last updated
03/26/2021
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