Individual
DR. WILLIAM A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 E MAUMEE ST STE 201, ANGOLA, IN 46703-2035
(260) 667-2600
(260) 665-7312
Mailing address
11109 PARKVIEW PLAZA DRIVE, MAILBOX 117, FORT WAYNE, IN 46845-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01051461
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000672898
ANTHEM
IN
01
—
01051461
STATE LICENSE
IN
05
—
200248720A
—
IN
Enumeration date
04/14/2006
Last updated
04/01/2021
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