Individual
DR. GARDNER SCOTT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Mailing address
1100 REID PKWY, PAYOR ENROLLMENT, RICHMOND, IN 47374-1157
(765) 983-3392
(765) 935-8592
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MED-PHYS-LIC-43906
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149665
—
OH
05
—
300120330
—
IN
Enumeration date
09/13/2006
Last updated
10/17/2025
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