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Individual

MR. ALEC SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
8310 ALLISON POINTE BLVD, SUITE 103, INDIANAPOLIS, IN 46250-1981
(317) 459-7090
Mailing address
8310 ALLISON POINTE BLVD, SUITE 103, INDIANAPOLIS, IN 46250-1981
(317) 459-7090

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1025446
IN

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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