Individual
CREIGHTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(800) 841-4938
Mailing address
1410 AGOGO WAY, GREENWOOD, IN 46143-1752
(317) 443-3441
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28243479A
IN
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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