Individual
JOSHUA J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17600 SHAMROCK BLVD, WESTFIELD, IN 46074-7002
(317) 214-5468
(317) 214-5469
Mailing address
PO BOX 843022, KANSAS CITY, MO 64184-3022
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021509
—
IN
01
—
P02198331
MEDICARE RR
IN
Enumeration date
10/19/2018
Last updated
11/11/2024
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