Individual
CHRISTOPHER D SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1050 REID PARKWAY, SUITE 220, RICHMOND, IN 47374-1161
(765) 962-8551
(765) 962-2591
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000676A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000683307
ANTHEM
IN
Enumeration date
04/09/2007
Last updated
05/20/2021
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