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Individual

DR. WILLIAM LEE SMITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7222 ENGLE ROAD, FORT WAYNE, IN 46804-2222
(260) 432-5005
(260) 432-6003
Mailing address
7222 ENGLE ROAD, FORT WAYNE, IN 46804-2222
(260) 432-5005
(260) 432-6003

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01044372A
IN
2080P0201X
Pediatric Allergy/Immunology Physician
01044372A
IN
2080P0214X
Pediatric Pulmonology Physician
01044372A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000005310
M-PLAN
01
000000092049
ANTHEM BCBS
01
030003428
RAILROAD MEDICARE
01
10786190
CAQH
05
200062640
IN
01
352007446101
CARESOURCE
01
5470020
AETNA
Enumeration date
04/06/2006
Last updated
03/14/2012
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