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Individual

JOANNE SMART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2900 W 16TH STREET, BEDFORD, IN 47421
(812) 278-8800
(812) 275-1343
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042363A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100462180
IN
Enumeration date
09/08/2005
Last updated
12/21/2022
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